5UQ-19603-75464 · OpenVSafe

Timeline

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Survey response — day 0, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Symptoms attributed to pre existing condition

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Medical counselling, Neuralgia — Feeling: Good

Free text: Yes, family member is Dr. (b)(6). He told me to report I've had plastic surgery. Also, after disciussion my symptoms after 24 hrs were worse than originally stated. My joint and nerve pain levels were extremely high

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-20
Survey response — day 7, dose 1
MedDRA: Rash, Rash papular — Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Free text: Rash appeared two days ago. Didn't really notice how bad it was until yesterday. Two inches wide five inches long. Solid raised area. Taking antihistamines and using neosporen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-01
Survey response — day 21, dose 1
MedDRA: Body temperature increased, Chills, Migraine, Oropharyngeal pain, Pain, Pain in extremity, Self-medication — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Bad reaction after second shot. Full body shivers. 103.7 temp. Throbbing migraine and whole throat soreness. Left arm pain, while body ache. Almost called 911. Fever today with ibuprofen 101 to 102.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): Symptoms attributed to pre existing condition

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Yes, family member is Dr. (b)(6). He told me to report I've had plastic surgery. Also, after disciussion my symptoms after 24 hrs were worse than originally stated. My joint and nerve pain levels were extremely high

redacted (b)(6)

Release 6 — day 7, dose 1

2021-03-20

Systemic reaction (other): Rash appeared two days ago. Didn't really notice how bad it was until yesterday. Two inches wide five inches long. Solid raised area. Taking antihistamines and using neosporen.

Release 6 — day 21, dose 1

2021-04-01

Symptoms: Bad reaction after second shot. Full body shivers. 103.7 temp. Throbbing migraine and whole throat soreness. Left arm pain, while body ache. Almost called 911. Fever today with ibuprofen 101 to 102.

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	Body temperature increased	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash papular	✓	✓	✓

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