4DM-10264-55760 · OpenVSafe

Timeline

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

2021-04-03
Dose 1 — Moderna
2021-05-01
Registered in v-safe
2021-05-01
Dose 2 — Moderna
2021-05-01
Survey response — day 0, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Be unable to do your normal daily activities

Free text: None so far except my left arm where the injection was done is really painful as if my arm was whipped with a heavy object

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Pain, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Severe body aches & pain all over and feverish, was not able to sleep the whole night last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain, Decreased appetite, Hypoaesthesia, Insomnia, Pain — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: I forgot to write down i have numbness in my whole left arm (got vaccinated on my left arm) for 2 days and light soreness on my breasts, lost of appetite. Today my pain & body aches are not so severe, still have difficulty in sleeping at night, last night only slept 3 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Headache, Diarrhea · Be unable to do your normal daily activities

Free text: Still have difficulty in sleeping, only 4 hours of sleep last night (even with a combine total of less than 5 hours of sleep Saturday & Sunday)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Headache

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Dose 3 — Moderna

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Moderna
2	2021-05-01	Moderna
3	2021-11-20	Moderna	No

Free text

Release 8 — day 0, dose 2

2021-05-01

Systemic reaction (other): None so far except my left arm where the injection was done is really painful as if my arm was whipped with a heavy object

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Severe body aches & pain all over and feverish, was not able to sleep the whole night last night

2021-05-03

Systemic reaction (other): I forgot to write down i have numbness in my whole left arm (got vaccinated on my left arm) for 2 days and light soreness on my breasts, lost of appetite. Today my pain & body aches are not so severe, still have difficulty in sleeping at night, last night only slept 3 hours.

2021-05-04

Systemic reaction (other): Still have difficulty in sleeping, only 4 hours of sleep last night (even with a combine total of less than 5 hours of sleep Saturday & Sunday)

2021-05-05

Systemic reaction (other): None

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
SRO	Breast pain	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Fatigue	○	○	○
SRO	Hypoaesthesia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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