ETC-17896-37188 · OpenVSafe

Timeline

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

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Moderna
2021-03-03
Survey response — day 0, dose 1
MedDRA: Back pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Nodule — Feeling: Good

Free text: It feels like a knot in my armpit every since the pain from where the shot injection stop hurting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 7, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash was on my stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna

Free text

Release 5 — day 0, dose 1

2021-03-03

Systemic reaction (other): Back pain

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): It feels like a knot in my armpit every since the pain from where the shot injection stop hurting.

Release 5 — day 7, dose 1

2021-03-10

Systemic reaction (other): Rash was on my stomach

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	Back pain	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Nodule	✓	✓	✓
SRO	Rash	✓	✓	✓

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