654-28965-30686 · OpenVSafe

Timeline

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

2021-02-01
Dose 1 — Moderna
2021-03-01
Dose 2 — Moderna
2021-03-05
Registered in v-safe
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Large bruise (2 inch diameter) at injection site, red itchy rash from mid upper arm wrapping around nicely down to elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Good · Fatigue or tiredness

Free text: Large 2 inch diameter bruise at injection site persists

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Survey response — 6 months, dose 2
MedDRA: Cough, Dysphonia, Fatigue, Headache, Smoke sensitivity — Feeling: Fair · Be unable to do your normal daily activities

Free text: New onset on 8/28 for two days of headache, cough, fatigue, hoarse voice. We are also in (b)(6) region experiencing heavy fire smoke so hard to know if smoke exposure or illness. Fatigue and hoarse voice have continued to present.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-03-01
Survey response — 12 months, dose 2
MedDRA: COVID-19, Myalgia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: COVID in January, with post COVID muscle aches that are mostly resolved but reoccur if I get run down

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Large bruise (2 inch diameter) at injection site, red itchy rash from mid upper arm wrapping around nicely down to elbow

2021-03-07

Systemic reaction (other): Large 2 inch diameter bruise at injection site persists

Release 9 — 6 months, dose 2

2021-08-30

Symptoms: New onset on 8/28 for two days of headache, cough, fatigue, hoarse voice. We are also in (b)(6) region experiencing heavy fire smoke so hard to know if smoke exposure or illness. Fatigue and hoarse voice have continued to present.

redacted (b)(6)

Release 11 — 12 months, dose 2

2022-03-01

Symptoms: COVID in January, with post COVID muscle aches that are mostly resolved but reoccur if I get run down

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	Cough	✓	·	✓
SD	COVID-19	·	·	✓
SD	Dysphonia	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Myalgia	·	·	✓
SD	Smoke sensitivity	✓	·	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site rash	✓	✓	✓

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