X5T-27042-23044 · OpenVSafe

Timeline

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

2022-06-25
Registered in v-safe
2022-06-25
Dose 1 — Moderna
2022-06-26
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2022-06-28
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Redness · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-06-29
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Pruritus — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Itchy skin on arms

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-01
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-02
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2022-07-10
Survey response — day 14, dose 1, dependent
MedDRA: Injection site erythema, Injection site pain, Injection site swelling, Vaccination site reaction — Feeling: Good

Free text: Delayed reaction at injection site- 9 days after shot, the injection site became red and puffy about a 2 inch radius around where shot was given. Painful to the touch.

MedDRA releases: 2024-11 · check-in free text available
2022-07-16
Health check-in — day 21, dose 1, dependent
Feeling: Good

Adult check-in
2022-07-25
Survey response — day 28, dose 1, dependent
MedDRA: Pyrexia, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Vomiting and fever

MedDRA releases: 2024-11 · check-in free text available
2022-07-30
Survey response — day 35, dose 1, dependent
MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities

Free text: Covid-19

MedDRA releases: 2024-11 · check-in free text available
2022-08-08
Health check-in — day 42, dose 1, dependent
Feeling: Good

Adult check-in
2022-09-24
Survey response — 3 months, dose 1, dependent
MedDRA: Malaise, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Very sick with unknown virus

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Report sent to call center — 3 months, dose 1, dependent
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-09-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-25	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 — days 1–6 daily, dose 1, dependent

2022-06-29

Systemic reaction (other): Itchy skin on arms

Release 12 — day 14, dose 1, dependent

2022-07-10

Symptoms: Delayed reaction at injection site- 9 days after shot, the injection site became red and puffy about a 2 inch radius around where shot was given. Painful to the touch.

Release 12 — day 28, dose 1, dependent

2022-07-25

Symptoms: Vomiting and fever

Release 12 — day 35, dose 1, dependent

2022-07-30

Symptoms: Covid-19

Release 12 — 3 months, dose 1, dependent

2022-09-24

Symptoms: Very sick with unknown virus

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	COVID-19	·	·	✓
SD	Injection site erythema	·	·	✓
SD	Injection site pain	·	·	✓
SD	Injection site swelling	·	·	✓
SD	Malaise	·	·	✓
SD	Pyrexia	·	·	✓
SD	Vaccination site reaction	·	·	✓
SD	Viral infection	·	·	✓
SD	Vomiting	·	·	✓
SRO	Pruritus	·	·	✓

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