6PV-23973-12571 · OpenVSafe

Timeline

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

2021-01-25
Dose 1 — Moderna
2021-02-22
Registered in v-safe
2021-02-22
Dose 2 — Moderna
2021-02-22
Survey response — day 0, dose 2
MedDRA: No adverse event, Unevaluable event — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site discharge — Feeling: Good

Free text: Yes. When I received my Second shot yesterday a lot of liquid popped out of my arm. I dont know how much a vaccine actually got into my arm but I have no symptoms no red marks nothing. Have you any information on an immunity test say an antibody test that I could take in a few weeks to see if I actually have any beneficial effect from the second shot?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Wrong technique in product usage process — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Received quite a bit less than a full second shot. It drip down my arm after she injected it. She pulled a needle out pretty quick. Any advice?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site discharge, Underdose — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Did not get a full shot. It dripped out of my arm. What do I do?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 7, dose 2
MedDRA: Vaccination error — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Yes. Second shot dripped out of my arm. What do I do

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 14, dose 2
MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activities

Free text: Both my wife (b)(6) and myself experienced severe dizziness yesterday March 11, 2021. We received our second Moderna shot February 22, 2021. This is my second dizzy experience in 3 weeks. Dont know if theres a connection just letting you kno

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Dose 3 — Moderna

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-22	Moderna
3	2021-10-23	Moderna	No

Free text

Release 4 — day 0, dose 2

2021-02-22

Systemic reaction (other): None

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Yes. When I received my Second shot yesterday a lot of liquid popped out of my arm. I dont know how much a vaccine actually got into my arm but I have no symptoms no red marks nothing. Have you any information on an immunity test say an antibody test that I could take in a few weeks to see if I actually have any beneficial effect from the second shot?

2021-02-25

Systemic reaction (other): Received quite a bit less than a full second shot. It drip down my arm after she injected it. She pulled a needle out pretty quick. Any advice?

2021-02-27

Systemic reaction (other): Did not get a full shot. It dripped out of my arm. What do I do?

Release 4 — day 7, dose 2

2021-03-01

Systemic reaction (other): Yes. Second shot dripped out of my arm. What do I do

Release 5 — day 14, dose 2

2021-03-12

Symptoms: Both my wife (b)(6) and myself experienced severe dizziness yesterday March 11, 2021. We received our second Moderna shot February 22, 2021. This is my second dizzy experience in 3 weeks. Dont know if theres a connection just letting you kno

redacted (b)(6)

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	✓	✓	✓
SRO	Injection site discharge	✓	✓	✓
SRO	No adverse event	✓	·	✓
SRO	Underdose	✓	✓	✓
SRO	Unevaluable event	○	✓	○
SRO	Vaccination error	✓	✓	✓
SRO	Wrong technique in product usage process	✓	✓	✓

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