6FV-16019-25736 · OpenVSafe

Timeline

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

2021-01-25
Dose 1 — Moderna
2021-02-02
Registered in v-safe
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-08
Survey response — day 14, dose 1
MedDRA: Injection site pruritus, Injection site warmth, Pruritus, Rash macular — Feeling: Fair

Free text: A large red patch that is warm and itchy has developed over the injection site. I have itchiness in my arms, legs, back, torso, scalp, and face. No rash is visible, just the spot on my arm is red. The itchiness is marginally relieved with Benadryl.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 21, dose 1
MedDRA: Injection site pain, Pruritus — Feeling: Fair

Free text: I continue to have itchiness in my arms, legs, back, and scalp. The injection site remains tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 28, dose 1
MedDRA: Immunisation reaction, Injection site pain, Injection site pruritus, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: The injection site remains mildly sore, and I continue to have itchiness. I did not receive the second dose after consulting with my doctor, as he advised against it. · Healthcare visit (other): In-person consult for reaction symptoms to first vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-08-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-08

Symptoms: A large red patch that is warm and itchy has developed over the injection site. I have itchiness in my arms, legs, back, torso, scalp, and face. No rash is visible, just the spot on my arm is red. The itchiness is marginally relieved with Benadryl. cut off by CDC

Release 4 — day 21, dose 1

2021-02-17

Symptoms: I continue to have itchiness in my arms, legs, back, and scalp. The injection site remains tender.

Release 4 — day 28, dose 1

2021-02-22

Symptoms: The injection site remains mildly sore, and I continue to have itchiness. I did not receive the second dose after consulting with my doctor, as he advised against it.

Healthcare visit (other): In-person consult for reaction symptoms to first vaccine.

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
HCVO	Immunisation reaction	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash macular	✓	✓	✓

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