5JS-10097-15557 · OpenVSafe

Timeline

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

2021-04-23
Dose 1 — Moderna
2021-05-04
Registered in v-safe
2021-05-04
Survey response — day 7, dose 1
MedDRA: Immunisation reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching

Free text: Want to report that I have COVID arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 14, dose 1
MedDRA: Immunisation reaction, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth — Feeling: Fair

Free text: Starting Saturday May 1st I woke up to a sore, itchy, swollen, red and hot area at my injection site. It's better now but still a little itchy.(COVID Arm from what I understand.)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-21
Dose 2 — Moderna
2021-06-01
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-06-06
Survey response — day 14, dose 2
MedDRA: Arthralgia, Bone pain, Immunisation reaction, Menstruation delayed, Pain — Feeling: Good · Be unable to work

Free text: My 2nd dose I a terrible reaction. Worse than the 1st. By the next am I had severe joint, bone pain the traveled through my body from the neck down. I also have had a delayed period. AND COVID Arm again. This time it started the 3rd day after 2nd ds.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Moderna
2	2021-05-21	Moderna

Free text

Release 8 — day 7, dose 1

2021-05-04

Systemic reaction (other): Want to report that I have COVID arm.

Release 8 — day 14, dose 1

2021-05-07

Symptoms: Starting Saturday May 1st I woke up to a sore, itchy, swollen, red and hot area at my injection site. It's better now but still a little itchy.(COVID Arm from what I understand.)

Release 8 — day 14, dose 2

2021-06-06

Symptoms: My 2nd dose I a terrible reaction. Worse than the 1st. By the next am I had severe joint, bone pain the traveled through my body from the neck down. I also have had a delayed period. AND COVID Arm again. This time it started the 3rd day after 2nd ds. cut off by CDC

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	Arthralgia	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Menstruation delayed	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓

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