53K-22890-63257 · OpenVSafe

Timeline

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

2021-02-26
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Gerd

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Moderna
2022-05-18
Dose 4 — Moderna
2022-05-18
Health check-in — day 0, dose 4
Feeling: Good · Headache

Adult check-in
2022-05-19
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lymph gland tenderness armpit

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain, Contusion, Office visit — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Went to urgent care for spontaneous bruising and pain below the armpit due to vaccine. Large blood bruise and pain.

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Survey response — days 1–6 daily, dose 4
MedDRA: Haematoma, Oedema peripheral — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Large hematoma in underarm with axilla swelling same as yesterday

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Survey response — days 1–6 daily, dose 4
MedDRA: Contusion, Haematoma — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Another hematoma bruise showed up under the injection arm near the breast area

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Survey response — days 1–6 daily, dose 4
MedDRA: Office visit — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Went to doctor for evaluation of vaccinated arm and we'll be getting ultrasound to rule out phlebitis

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness

Free text: I am having 2 ultrasounds on 5/24 to rule out phlebitis related to the booster shot on 5/18

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna
3	2021-11-04	Moderna	No
4	2022-05-18	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Gerd

Release 11 — days 1–6 daily, dose 4

2022-05-19

Systemic reaction (other): Lymph gland tenderness armpit

2022-05-20

Systemic reaction (other): Went to urgent care for spontaneous bruising and pain below the armpit due to vaccine. Large blood bruise and pain.

2022-05-21

Systemic reaction (other): Large hematoma in underarm with axilla swelling same as yesterday

2022-05-22

Systemic reaction (other): Another hematoma bruise showed up under the injection arm near the breast area

2022-05-23

Systemic reaction (other): Went to doctor for evaluation of vaccinated arm and we'll be getting ultrasound to rule out phlebitis

2022-05-24

Systemic reaction (other): I am having 2 ultrasounds on 5/24 to rule out phlebitis related to the booster shot on 5/18

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
SRO	Axillary pain	·	·	✓
SRO	Contusion	·	·	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Haematoma	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Office visit	·	·	✓
SRO	Unevaluable event	·	·	✓

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