4T9-17037-92379 · OpenVSafe

Timeline

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

2021-03-08
Dose 1 — Moderna
2021-03-24
Registered in v-safe
2021-03-24
Survey response — day 14, dose 1
MedDRA: Myalgia, Office visit, Rash, Rash erythematous — Feeling: Good

Free text: Pronounced muscle soreness began March 9. By March 10 rash developed. Consulted PA March 15. Muscle soreness worsened through about March 19, then began to improve. On March 21 rash was very red and covered most of upper arm. Clearing now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-05
Dose 2 — Moderna
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-29
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort, Dizziness, Myalgia, Rash, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Roaring in my head ( not ringing like tinnitus) Started with the first house and got worse after the second. It is getting worse, causing dizziness and upset stomach.The rash on my arm and muscle soreness are gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Moderna
2	2021-04-05	Moderna

Free text

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Pronounced muscle soreness began March 9. By March 10 rash developed. Consulted PA March 15. Muscle soreness worsened through about March 19, then began to improve. On March 21 rash was very red and covered most of upper arm. Clearing now.

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Roaring in my head ( not ringing like tinnitus) Started with the first house and got worse after the second. It is getting worse, causing dizziness and upset stomach.The rash on my arm and muscle soreness are gone.

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	Abdominal discomfort	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Office visit	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Tinnitus	✓	✓	✓

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