6XX-10034-70818 · OpenVSafe

Timeline

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

2021-01-13
Dose 1 — Moderna
2021-02-10
Dose 2 — Moderna
2021-02-11
Registered in v-safe
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling, Tenderness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Marble size lump developed on inside of collarbone with first shot that went away after about 3 weeks, and reappeared within several hours of the second shot; its Injection side of middle of front part of collarbone, and feels like its just under skin, tender to touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Mass — Feeling: Good · Site: Itching

Free text: Still have a marble size lump under skin inside collarbone on side in which arm is that received vaccine dose 2.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Myalgia — Feeling: Good · Headache, Muscle or body aches

Free text: Still have the small lump under skin on inside front collarbone; likely its lymph glands affected by the vaccine. Its tender. Muscles from shoulder up into neck are tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Survey response — day 28, dose 2
MedDRA: Headache, Muscle fatigue, Pain — Feeling: Fair

Free text: Stil have ongoing off and on aching in collar bone and neck area, muscle fatigue here and there (ie back of arms) and off on headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-08-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Marble size lump developed on inside of collarbone with first shot that went away after about 3 weeks, and reappeared within several hours of the second shot; its Injection side of middle of front part of collarbone, and feels like its just under skin, tender to touch.

2021-02-13

Systemic reaction (other): Still have a marble size lump under skin inside collarbone on side in which arm is that received vaccine dose 2.

2021-02-15

Systemic reaction (other): Still have the small lump under skin on inside front collarbone; likely its lymph glands affected by the vaccine. Its tender. Muscles from shoulder up into neck are tender.

Release 5 — day 28, dose 2

2021-03-10

Symptoms: Stil have ongoing off and on aching in collar bone and neck area, muscle fatigue here and there (ie back of arms) and off on headaches.

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	Headache	✓	✓	✓
SD	Muscle fatigue	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mass	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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