5ST-16516-33815 · OpenVSafe

Timeline

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

2021-02-27
Dose 1 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Survey response — day 14, dose 1
MedDRA: Immediate post-injection reaction, Injection site induration, Injection site rash, Injection site swelling, Injection site warmth, Nausea, Rash pruritic — Feeling: Fair · Be unable to do your normal daily activities

Free text: A hot, itchy, swollen, hard rash around the injection site. Has been there for the last 5 days. Swelling finally went down but the rash and itch still remains. Felt nauseous instantly after the shot but subsided within 48hrs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 21, dose 1
MedDRA: Erythema, Pruritus, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: The rash is still there though it's diminished in appearance and the ring is gone, there's still a noticeable redness, no swelling or pain but my right arm is still itchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Dose 2 — Moderna
2021-04-02
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Free text: Fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-04-02	Moderna

Free text

Release 5 — day 14, dose 1

2021-03-13

Symptoms: A hot, itchy, swollen, hard rash around the injection site. Has been there for the last 5 days. Swelling finally went down but the rash and itch still remains. Felt nauseous instantly after the shot but subsided within 48hrs.

Release 6 — day 21, dose 1

2021-03-20

Symptoms: The rash is still there though it's diminished in appearance and the ring is gone, there's still a noticeable redness, no swelling or pain but my right arm is still itchy.

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Fever

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	Immediate post-injection reaction	✓	✓	✓
SD	Injection site induration	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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