4GZ-20641-15444 · OpenVSafe

Timeline

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

2021-04-13
Dose 1 — Moderna
2021-05-11
Dose 2 — Moderna
2021-06-08
Registered in v-safe
2021-06-08
Survey response — day 28, dose 2
MedDRA: Arthralgia, Burning sensation, Headache, Myalgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Joint pain, muscle soreness, boughts of burning sensation, constant headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — day 35, dose 2
MedDRA: Acne, Alopecia, Injection site joint pain, Injection site pain, Injection site reaction, Neuralgia, Occupational therapy, Office visit, Peripheral swelling, Physiotherapy, Rash, Sensitive skin, Skin disorder — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Swolen leg, very sharp nerve and joint pain in first injection sight (left arm). Skin porosity and sensitivity, rash on hands, extreme hairloss by almost 30-40% of density in the last two weeks · Healthcare visit (other): Chiropractor/OT/PT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Survey response — day 42, dose 2
MedDRA: Dyspnoea, Fatigue, Headache, Kidney infection, Lethargy, Musculoskeletal pain, Pain, Tinnitus, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Kidney infection, headache, severe lethargy, tiredness, shortness of breath pain from right buttocks down, ear rignging and ache. · Healthcare visit (other): Heading to er at 6pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Report sent to call center — day 42, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-24
Call 1 — Left Voicemail
2021-11-09
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Moderna
2	2021-05-11	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-06-08

Symptoms: Joint pain, muscle soreness, boughts of burning sensation, constant headaches

Release 9 — day 35, dose 2

2021-06-18

Symptoms: Swolen leg, very sharp nerve and joint pain in first injection sight (left arm). Skin porosity and sensitivity, rash on hands, extreme hairloss by almost 30-40% of density in the last two weeks

Healthcare visit (other): Chiropractor/OT/PT

Release 9 — day 42, dose 2

2021-06-22

Symptoms: Kidney infection, headache, severe lethargy, tiredness, shortness of breath pain from right buttocks down, ear rignging and ache.

Healthcare visit (other): Heading to er at 6pm

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	Occupational therapy	·	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Physiotherapy	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Acne	○	✓	○
SD	Alopecia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site joint pain	✓	·	✓
SD	Injection site pain	○	✓	○
SD	Injection site reaction	·	·	✓
SD	Kidney infection	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Sensitive skin	✓	✓	✓
SD	Skin disorder	✓	·	○
SD	Tinnitus	✓	✓	✓

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