5M2-20411-86859 · OpenVSafe

Timeline

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

2021-01-09
Dose 1 — Moderna
2021-01-25
Registered in v-safe
2021-01-25
Survey response — day 14, dose 1
MedDRA: Peripheral swelling — Feeling: Good

Free text: A hard lump (cyst-like and moving around a bit) under skin a couple inches away from where the vaccination shot was.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 21, dose 1
MedDRA: Haematoma, Limb mass, Peripheral swelling, Specialist consultation, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: A lump- hematoma on my arm · Healthcare visit (other): Sonagram

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Dose 2 — Moderna
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Pregnancy — Feeling: Good · Abdominal pain

Free text: I am pregnant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 14, dose 2
MedDRA: Arthralgia, Haematoma — Feeling: Fair

Free text: Waves of pain in the shoulder. Also, hematoma is still there since the first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-01	Unsuccessful

Free text

Release 2 — day 14, dose 1

2021-01-25

Symptoms: A hard lump (cyst-like and moving around a bit) under skin a couple inches away from where the vaccination shot was.

Release 3 — day 21, dose 1

2021-02-01

Symptoms: A lump- hematoma on my arm

Healthcare visit (other): Sonagram

Release 3 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): I am pregnant

Release 4 — day 14, dose 2

2021-02-20

Symptoms: Waves of pain in the shoulder. Also, hematoma is still there since the first shot.

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
HCVO	Specialist consultation	○	✓	○
HCVO	Unevaluable event	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Haematoma	✓	✓	✓
SD	Limb mass	✓	·	✓
SD	Peripheral swelling	✓	✓	✓
SRO	Pregnancy	✓	✓	✓

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