XZM-30536-33491 · OpenVSafe

Timeline

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

2020-12-29
Dose 1 — Moderna
2021-01-28
Registered in v-safe
2021-01-28
Dose 2 — Moderna
2021-01-28
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Facial pain, Toothache — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Face and teeth hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Pain in extremity, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains

Free text: Missed yesterdays report 1/30/21 had mild sore arm. no fever no symptoms BUT realized i did not have usual arthritic pain in back knees and hips, then when i woke on 1/3o/21, i was fee of any arthritic pain or usual muscle pain.all throught that day I had taken myself off all my meds for 2 1/2 weeks. i.e. breo. Aleve, flexeril. Woke on 1/31/21 with usual arthritc knee, back and hip pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Survey response — day 28, dose 2
MedDRA: Asthma, Lymphadenopathy, Oropharyngeal pain, Pre-existing disease — Feeling: Good

Free text: Sore throat, swollen neck gkands on rightAsthma acting up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-07
Dose 3 — Moderna
2022-01-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-28	Moderna
3	2021-12-07	Moderna	No

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Face and teeth hurt

2021-01-31

Systemic reaction (other): Missed yesterdays report 1/30/21 had mild sore arm. no fever no symptoms BUT realized i did not have usual arthritic pain in back knees and hips, then when i woke on 1/3o/21, i was fee of any arthritic pain or usual muscle pain.all throught that day I had taken myself off all my meds for 2 1/2 weeks. i.e. breo. Aleve, flexeril. Woke on 1/31/21 with usual arthritc knee, back and hip pain

Release 4 — day 28, dose 2

2021-02-25

Symptoms: Sore throat, swollen neck gkands on rightAsthma acting up

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	Asthma	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Toothache	✓	✓	✓

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