5A3-85695-20490 · OpenVSafe

Timeline

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

2021-01-15
Dose 1 — Moderna
2021-02-06
Registered in v-safe
2021-02-06
Survey response — day 21, dose 1
MedDRA: Influenza like illness, Nausea, Pruritus, Rash — Feeling: Poor

Free text: My arm broke out with a 6 inch by 6 inch itchy and painful rash 9 days after vaccination. It is 3 weeks since shot and I have been nauseous and feel flu like with no fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 28, dose 1
MedDRA: Back pain, Chills, Fatigue, Herpes virus infection, Nausea, Pain, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: 8-9 days after first shot arm broke out in large painful rash followed by extreme nausea, fatigue, back pain, herpes outbreak on scapula, chills no fever and aches all over for 2-1/2 weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-04-16
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-07-18
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2022-01-15
Survey response — 12 months, dose 1
MedDRA: Anosmia, Fatigue, Immunisation reaction, Injection site pruritus, Pain in extremity — Feeling: Good

Free text: I forgot to mention the last time and it's ongoing, my arm still hurts some days and or itches like crazy at the injection site. I had "covid" arm from the eighth day after injection for approximately 3 weeks with extreme fatigue, loss of smell.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna

Free text

Release 3 — day 21, dose 1

2021-02-06

Symptoms: My arm broke out with a 6 inch by 6 inch itchy and painful rash 9 days after vaccination. It is 3 weeks since shot and I have been nauseous and feel flu like with no fever.

Release 4 — day 28, dose 1

2021-02-12

Symptoms: 8-9 days after first shot arm broke out in large painful rash followed by extreme nausea, fatigue, back pain, herpes outbreak on scapula, chills no fever and aches all over for 2-1/2 weeks.

Release 10 — 12 months, dose 1

2022-01-15

Symptoms: I forgot to mention the last time and it's ongoing, my arm still hurts some days and or itches like crazy at the injection site. I had "covid" arm from the eighth day after injection for approximately 3 weeks with extreme fatigue, loss of smell.

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	Anosmia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Herpes virus infection	✓	✓	✓
SD	Immunisation reaction	·	·	✓
SD	Influenza like illness	✓	✓	✓
SD	Injection site pruritus	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓

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