6EY-20627-66216 · OpenVSafe

Timeline

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

2021-01-24
Registered in v-safe
2021-01-24
Dose 1 — Moderna
2021-01-24
Survey response — day 0, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: I am concerned because although I was scheduled to receive the Pfizer vaccine a Kaiser today I received Moderna (b)(6) which I see is the one that (b)(6) County put on hold. Is there any reason for concern regarding this specific batch other than the issue with severe allergic reactions?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — day 7, dose 1
MedDRA: Burning sensation, Erythema, Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Pruritus, Skin reaction, Swelling — Feeling: Good · Site: Redness, Swelling, Itching

Free text: Delayed reaction & off to the side of the actual injection site which is exactly where I experienced the initial soreness. Didnt notice redness or swelling until my arm started burning and itching fairly badly yesterday, one week from the time of the injection.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-24	Moderna

Free text

Release 2 — day 0, dose 1

2021-01-24

Systemic reaction (other): I am concerned because although I was scheduled to receive the Pfizer vaccine a Kaiser today I received Moderna (b)(6) which I see is the one that (b)(6) County put on hold. Is there any reason for concern regarding this specific batch other than the issue with severe allergic reactions?

redacted (b)(6)

Release 3 — day 7, dose 1

2021-02-03

Systemic reaction (other): Delayed reaction & off to the side of the actual injection site which is exactly where I experienced the initial soreness. Didnt notice redness or swelling until my arm started burning and itching fairly badly yesterday, one week from the time of the injection.

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
SRO	Burning sensation	✓	✓	○
SRO	Erythema	✓	✓	○
SRO	Injection site erythema	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	·	·	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Pruritus	✓	✓	○
SRO	Skin reaction	·	·	✓
SRO	Swelling	✓	✓	○
SRO	Unevaluable event	✓	✓	✓

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