68E-12639-91782 · OpenVSafe

Timeline

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

2021-01-06
Dose 1 — Moderna
2021-02-03
Dose 2 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Discomfort, Erythema, Fatigue, Headache, Immediate post-injection reaction, Injection site pruritus, Injection site swelling, Injection site warmth, Nausea, Pruritus, Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Wanted to note had hives on face and neck after vacination, not sure if nerves. Immediate itching and swelling and hot to touch and swelled around injection site. Hives disappeared after about hour and half (not sure if nerves or reaction). Last time my whole arm hurt bad and swelled some at site but no redness or rash. Redness etc and itching still today though milder. Tired today but mild. Yesterday, headache, nausea at night, extreme heaviness through out body and exhaustion and some chills. Last shot was same but for one hour increment 2x on day too and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

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

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — day 14, dose 2
MedDRA: Dizziness — Feeling: Fair

Free text: Dizzy spell last night after taking out the garbage. Some dizziness at times today too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 21, dose 2
MedDRA: Dizziness, Injection site pain, Injection site pruritus, Pain of skin, Vision blurred — Feeling: Fair

Free text: Itchy at injection site at times and tender randomly. Tender scalp at times. Blurred vision off and on and dizzy but better then last week.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Wanted to note had hives on face and neck after vacination, not sure if nerves. Immediate itching and swelling and hot to touch and swelled around injection site. Hives disappeared after about hour and half (not sure if nerves or reaction). Last time my whole arm hurt bad and swelled some at site but no redness or rash. Redness etc and itching still today though milder. Tired today but mild. Yesterday, headache, nausea at night, extreme heaviness through out body and exhaustion and some chills. Last shot was same but for one hour increment 2x on day too and fatigue.

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Dizzy spell last night after taking out the garbage. Some dizziness at times today too.

Release 4 — day 21, dose 2

2021-02-27

Symptoms: Itchy at injection site at times and tender randomly. Tender scalp at times. Blurred vision off and on and dizzy but better then last week.

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	Dizziness	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Pain of skin	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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