3ZJ-56068-01818 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pruritus, Rash — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Itching started day before yesterday. Mild symptoms sonI didnt attribute it to vaccine. A little more itching yesterday. This morning even more itching. A rashon my face, neck, ears. I do carry an EPI pen. I took one Benadryl. Not helping.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Emergency care, Erythema, Pruritus, Rash, Swelling, Throat irritation — Feeling: Poor · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Rash, redness, swelling, and itchy scratchy throat. I had to go to ER. Reactions to Moderna Vaccine. Went home with Prednisone, Pepcid and Benadryl.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-02-01
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — day 14, dose 1
MedDRA: Adverse reaction, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: I have been experiencing adverse reactions for past two weeks. I will not be taking 2nd vaccine. · Healthcare visit (other): Dr office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-05-30
Call 1 — Requested Callback
2021-05-30
Callback requested for
11:00AM
2021-05-30
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-26

Systemic reaction (other): No

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Itching started day before yesterday. Mild symptoms sonI didnt attribute it to vaccine. A little more itching yesterday. This morning even more itching. A rashon my face, neck, ears. I do carry an EPI pen. I took one Benadryl. Not helping.

2021-01-31

Systemic reaction (other): Rash, redness, swelling, and itchy scratchy throat. I had to go to ER. Reactions to Moderna Vaccine. Went home with Prednisone, Pepcid and Benadryl.

Release 3 — day 14, dose 1

2021-02-10

Symptoms: I have been experiencing adverse reactions for past two weeks. I will not be taking 2nd vaccine.

Healthcare visit (other): Dr office

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Office visit	✓	✓	✓
SD	Adverse reaction	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release