D96-92110-41572 · OpenVSafe

Timeline

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

2021-04-29
Registered in v-safe
2021-04-29
Dose 1 — Moderna
2021-04-29
Survey response — day 0, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain

Free text: Soar arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-23
Dose 2 — Moderna
2021-06-03
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-11-21
Survey response — 6 months, dose 2
MedDRA: Chills, Dyspnoea, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fever, chills, can't breathe

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-29	Moderna
2	2021-05-23	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-04-29

Systemic reaction (other): Soar arm

Release 10 — 6 months, dose 2

2021-11-21

Symptoms: Fever, chills, can't breathe

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	Chills	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Pain in extremity	✓	✓	✓

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