XCK-19562-53986 · OpenVSafe

Timeline

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

2021-06-12
Dose 1 — Moderna
2021-07-10
Dose 2 — Moderna
2022-01-10
Dose 3 — Moderna
2022-01-11
Registered in v-safe
2022-01-11
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Wrist pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-13
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Mild chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-14
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Chest pain, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Left leg pain, left ankle pain, occasional chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-16
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-01-17
Call 1 — Could Not Reach Participant
2022-01-19
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-24
Call 2 — Could Not Reach Participant
2022-01-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-09
Survey response — day 28, dose 3
MedDRA: Axillary pain — Feeling: Good

Free text: Sore under arm where vaccine was received

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Survey response — day 35, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node under left arm

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-12	Moderna	No
2	2021-07-10	Moderna	No
3	2022-01-10	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-13	Unsuccessful
2022-01-14	Unsuccessful
2022-01-16	Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 3

2022-01-11

Systemic reaction (other): Wrist pain

2022-01-13

Systemic reaction (other): Mild chest pain

2022-01-14

Systemic reaction (other): Left leg pain, left ankle pain, occasional chest pain

2022-01-16

Systemic reaction (other): Chest pain

Release 11 — day 28, dose 3

2022-02-09

Symptoms: Sore under arm where vaccine was received

Release 11 — day 35, dose 3

2022-02-15

Symptoms: Swollen lymph node under left arm

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	Axillary pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Pain in extremity	·	·	✓

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