4GF-20100-52796 · OpenVSafe

Timeline

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Hypokinesia, Pain in extremity — Feeling: Good · Site: Pain, Itching

Free text: Only feel pain when I lift my arm (that had injection) up enough to lift elbow out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Pain on arm which got vaccine is substantially less than 2nd day. Resting & catching up on sleep has really helped

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Pain at site of injection now only when it accidentally gets bumped or hit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Injection site pain, Pain in extremity, Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: Arm/site of injection minimally sore only at direct site of injection. Entire arm no longer sore. Tiredness believed to be seasonal allergies related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-04-01
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Moderna
2021-12-31
Survey response — 12 months, dose 1
MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, congestion & headache. Think it's allergy related & just started last night after being in (b)(6), TX area & now in (b)(6), TX area.

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Dose 4 — Moderna
2022-09-23
Dose 5 — Moderna
2022-09-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-09-30
Health check-in — day 7, dose 5
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-10-07
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-24
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-29	Moderna	No
3	2021-11-04	Moderna	No
4	2022-04-11	Moderna	No
5	2022-09-23	Moderna	No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Only feel pain when I lift my arm (that had injection) up enough to lift elbow out.

2021-01-02

Systemic reaction (other): Pain on arm which got vaccine is substantially less than 2nd day. Resting & catching up on sleep has really helped

2021-01-03

Systemic reaction (other): Pain at site of injection now only when it accidentally gets bumped or hit.

2021-01-04

Systemic reaction (other): Arm/site of injection minimally sore only at direct site of injection. Entire arm no longer sore. Tiredness believed to be seasonal allergies related.

Release 10 — 12 months, dose 1

2021-12-31

Symptoms: Sore throat, congestion & headache. Think it's allergy related & just started last night after being in (b)(6), TX area & now in (b)(6), TX area.

redacted (b)(6)

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
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypokinesia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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