5FY-15330-53837 · OpenVSafe

Timeline

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

2021-08-22
Dose 1 — Moderna
2021-09-14
Registered in v-safe
2021-09-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-09-21
Dose 2 — Moderna
2021-10-02
Survey response — day 7, dose 2
MedDRA: Epistaxis — Feeling: Good · Headache, Muscle or body aches

Free text: My nose on one side blead lightly on the third day after, which I thought was strange.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-22
Survey response — day 28, dose 2
MedDRA: Injection site reaction, Medical counselling, Mobility decreased, Pain in extremity — Feeling: Fair

Free text: left arm I got shot in; thumb pains, can't twist caps/lids off. Seems like problem runs up to shot area. 2 age 70 men in house have covid. 1 is over it, 1 sicker. I had 2nd shot for wk when they home testd. No MD. Neithr had shots. Text, email only

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — day 35, dose 2
MedDRA: Cough, Laryngitis, Pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have laryngitis, head congestion, some coughing, and body aches. Since I've had to live in close contact with positive COVID-19 cases, I may have it. I am going to buy a home test kit online.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-22	Moderna	No
2	2021-09-21	Moderna	No

Free text

Release 9 — day 7, dose 2

2021-10-02

Systemic reaction (other): My nose on one side blead lightly on the third day after, which I thought was strange.

Release 10 — day 28, dose 2

2021-10-22

Symptoms: left arm I got shot in; thumb pains, can't twist caps/lids off. Seems like problem runs up to shot area. 2 age 70 men in house have covid. 1 is over it, 1 sicker. I had 2nd shot for wk when they home testd. No MD. Neithr had shots. Text, email only cut off by CDC

Release 10 — day 35, dose 2

2021-10-30

Symptoms: I have laryngitis, head congestion, some coughing, and body aches. Since I've had to live in close contact with positive COVID-19 cases, I may have it. I am going to buy a home test kit online.

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	Cough	·	·	✓
SD	Injection site reaction	·	·	✓
SD	Laryngitis	·	·	✓
SD	Medical counselling	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Epistaxis	·	·	✓

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