4WN-19650-37293 · OpenVSafe

Timeline

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

2021-04-23
Registered in v-safe
2021-04-23
Dose 1 — Moderna
2021-04-23
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Feeling hot, Peripheral swelling — Feeling: Good · Site: Swelling, Itching · Rash, not including the immediate area around the injection site

Free text: Around 1 am EST on 04/25/21 I developed a long red line on the inside of my arm that started to itch, it was roughly 8 inches long stretching from my inner bicep to the inside of my forearm. I put some anti itch cream on it, which made the area start to swell and bubble, after washing off the anti itch cream the swelling starting to dissipate. As of 5pm EST 04/25/21 the red line is no longer swollen and is very faint but still visible, it no longer itches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — day 21, dose 1
MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activities

Free text: Contracted COVID 19

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-25

Systemic reaction (other): Around 1 am EST on 04/25/21 I developed a long red line on the inside of my arm that started to itch, it was roughly 8 inches long stretching from my inner bicep to the inside of my forearm. I put some anti itch cream on it, which made the area start to swell and bubble, after washing off the anti itch cream the swelling starting to dissipate. As of 5pm EST 04/25/21 the red line is no longer swollen and is very faint but still visible, it no longer itches

Release 8 — day 21, dose 1

2021-05-16

Symptoms: Contracted COVID 19

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	COVID-19	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓

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