63K-34342-47380 · OpenVSafe

Timeline

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

2021-03-17
Dose 1 — Moderna
2021-03-18
Registered in v-safe
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Pain, Pharyngeal swelling, Pruritus — Feeling: Good · Site: Pain, Redness, Itching · Diarrhea

Free text: The itching has been the most active symptom... it moves from spot to spot (left arm, then right arm, both sides around lower back, right earlobe, throat felt like it was swelling, my chin and back to my right arm) all in that order... the only pain Ive had is around the area (left arm) where the shot was received. Its painful to raise my left arm above my shoulder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good

Free text: Back to normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 28, dose 1
MedDRA: Pyrexia — Feeling: Fair

Free text: Mild fever - 100.8

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): The itching has been the most active symptom... it moves from spot to spot (left arm, then right arm, both sides around lower back, right earlobe, throat felt like it was swelling, my chin and back to my right arm) all in that order... the only pain Ive had is around the area (left arm) where the shot was received. Its painful to raise my left arm above my shoulder.

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Back to normal

Release 7 — day 28, dose 1

2021-04-15

Symptoms: Mild fever - 100.8

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	Pyrexia	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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