W67-99746-61891 · OpenVSafe

Timeline

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

2021-03-14
Dose 1 — Moderna
2021-04-11
Registered in v-safe
2021-04-11
Dose 2 — Moderna
2021-04-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Chest pain — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: squeezing chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Diarrhea

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Abdominal pain

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-18
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 35, dose 2
MedDRA: Asthma, Nodule, Pre-existing disease, Urticaria — Feeling: Good

Free text: lump under arminflammatory response - worsening asthma, breakouts into hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — 3 months, dose 2
MedDRA: Axillary mass, Axillary pain, Joint swelling, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: swollen joint lump under armhives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-20
Call 1 — Left Voicemail
2021-10-10
Survey response — 6 months, dose 2
MedDRA: Acupuncture, Axillary mass, Dyspepsia, Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: heart burn, lump in armpit · Healthcare visit (other): acupuncture at hospital

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-15
Call 1 — Left Voicemail
2022-04-11
Survey response — 12 months, dose 2
MedDRA: Inflammation, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: continued inflammation · Healthcare visit (other): in office treatment

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-14	Moderna
2	2021-04-11	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-07-11	Unsuccessful
2021-10-10	Unsuccessful
2022-04-11	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): squeezing chest pain

Release 8 — day 35, dose 2

2021-05-20

Symptoms: lump under arminflammatory response - worsening asthma, breakouts into hives

Release 9 — 3 months, dose 2

2021-07-11

Symptoms: swollen joint lump under armhives

Release 10 — 6 months, dose 2

2021-10-10

Symptoms: heart burn, lump in armpit

Healthcare visit (other): acupuncture at hospital

Release 11 — 12 months, dose 2

2022-04-11

Symptoms: continued inflammation

Healthcare visit (other): in office treatment

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	Acupuncture	·	·	✓
HCVO	Emergency care	·	·	✓
HCVO	Office visit	·	·	✓
SD	Asthma	✓	✓	✓
SD	Axillary mass	·	·	✓
SD	Axillary pain	✓	✓	○
SD	Dyspepsia	·	·	✓
SD	Inflammation	·	·	✓
SD	Joint swelling	✓	✓	✓
SD	Nodule	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓

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