4V2-27913-54233 · OpenVSafe

Timeline

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

2021-01-29
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Survey response — day 21, dose 1
MedDRA: Adverse reaction, Office visit, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Extreme in left shoulder and back. Had polio at age 3 and left shoulder was left with residual affect. Have been to orthopaidetist this week and prescribed meloxicam and Tylenol. Could the shot brought this on? Dr. Was not sure on this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Survey response — day 28, dose 1
MedDRA: Arthralgia, Injected limb mobility decreased, Office visit, Pain in extremity, Post polio syndrome, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: After 1st shot about 2 weeks later I have had extreme pain in my left shoulder and arm. Went to urgent care and they think it could be as a result of shot. I am a post polio patient and left arm has lost function along with the pa in

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 42, dose 1
MedDRA: Arthralgia, Neck pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Extreme pain in left polio shoulder and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 42, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Dose 2 — Moderna
2021-07-30
Survey response — 6 months, dose 1
MedDRA: Arthralgia, Asthenia, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Lost strength in my legs and lost some use of my left arm. I had polio as a child and neurologist thought the vaccine may have interacted somehow with the polio. Also had extreme pain in my left shoulder and left leg.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-10
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-03-25	Moderna	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — day 21, dose 1

2021-02-19

Symptoms: Extreme in left shoulder and back. Had polio at age 3 and left shoulder was left with residual affect. Have been to orthopaidetist this week and prescribed meloxicam and Tylenol. Could the shot brought this on? Dr. Was not sure on this.

Release 4 — day 28, dose 1

2021-02-28

Symptoms: After 1st shot about 2 weeks later I have had extreme pain in my left shoulder and arm. Went to urgent care and they think it could be as a result of shot. I am a post polio patient and left arm has lost function along with the pa in

Release 5 — day 42, dose 1

2021-03-12

Symptoms: Extreme pain in left polio shoulder and neck

Release 9 — 6 months, dose 1

2021-07-30

Symptoms: Lost strength in my legs and lost some use of my left arm. I had polio as a child and neurologist thought the vaccine may have interacted somehow with the polio. Also had extreme pain in my left shoulder and left leg.

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	Adverse reaction	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	·	✓
SD	Injected limb mobility decreased	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Post polio syndrome	○	✓	○
SD	Pre-existing disease	✓	✓	✓

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