W96-10930-12089 · OpenVSafe

Timeline

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

2021-08-05
Registered in v-safe
2021-08-05
Dose 1 — Moderna
2021-08-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-08-07
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain

Free text: Sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-08
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Itching · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat, very swollen lymph nodes shot side only

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-09-02
Dose 2 — Moderna
2021-09-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-09-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-09-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-09-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-09-16
Survey response — day 14, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node armpit (on side of injection site)

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-07
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Good

Free text: Sharp pains back of head

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-04-28
Dose 3 — Moderna

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-05	Moderna	No
2	2021-09-02	Moderna	No
3	2022-04-28	Moderna	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-07

Systemic reaction (other): Sore throat

2021-08-08

Systemic reaction (other): Sore throat

2021-08-09

Systemic reaction (other): Sore throat

2021-08-10

Systemic reaction (other): Sore throat, very swollen lymph nodes shot side only

2021-08-11

Systemic reaction (other): Swollen lymph nodes

Release 9 — day 14, dose 2

2021-09-16

Symptoms: Swollen lymph node armpit (on side of injection site)

Release 10 — day 35, dose 2

2021-10-07

Symptoms: Sharp pains back of head

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	Lymphadenopathy	·	·	✓
SRO	Lymphadenopathy	✓	·	✓
SRO	Oropharyngeal pain	✓	·	✓

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