5KW-16751-38942 · OpenVSafe

Timeline

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

2021-01-11
Dose 1 — Moderna
2021-01-16
Registered in v-safe
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Induration, Nodule, Tenderness — Feeling: Poor · Site: Pain · Be unable to do your normal daily activities

Free text: Hard and painful nodule (2 cm) on the bicep of left arm, it's not at the injection site. The nodule is very painful to touch and had just appeared the morning of the 5th day after receiving vaccines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Nodule, Pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nodule on left arm on the bicep still present and seems to be more painful. Pain is severe and radiating to left shoulder. Pain is worse with movement and extension of the arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — day 7, dose 1
MedDRA: Nodule — Feeling: Fair · Be unable to do your normal daily activities

Free text: nodule on left bicep still present and painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-25
Survey response — day 14, dose 1
MedDRA: Erythema, Nodule, Pain in extremity, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: The nodule (1.5 cm) on bicep of left arm has not gone away. Pain on the left arm around nodule, redness and swelling appear around nodule from time to time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-01
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-06
Call successful
Participant prefers to complete VAERS report online
2022-01-13
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna

Call center

4 call center cases

1 successful · 3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Hard and painful nodule (2 cm) on the bicep of left arm, it's not at the injection site. The nodule is very painful to touch and had just appeared the morning of the 5th day after receiving vaccines.

2021-01-17

Systemic reaction (other): Nodule on left arm on the bicep still present and seems to be more painful. Pain is severe and radiating to left shoulder. Pain is worse with movement and extension of the arm.

Release 2 — day 7, dose 1

2021-01-18

Systemic reaction (other): nodule on left bicep still present and painful.

Release 2 — day 14, dose 1

2021-01-25

Symptoms: The nodule (1.5 cm) on bicep of left arm has not gone away. Pain on the left arm around nodule, redness and swelling appear around nodule from time to time.

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	Erythema	✓	✓	✓
SD	Nodule	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Induration	✓	✓	✓
SRO	Nodule	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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