Y4A-12871-59604 · OpenVSafe

Timeline

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

2021-04-05
Registered in v-safe
2021-04-05
Dose 1 — Moderna
2021-04-05
Survey response — day 0, dose 1
MedDRA: Paraesthesia — Feeling: Good · Site: Pain, Swelling

Free text: Slight tingling feeling on my neck and face of vaccination side. Odd feeling from neck/ear/cheek area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Sensory disturbance — Feeling: Poor · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Still have an odd feeling in my face on injection side. Only my check and eat and not around my neck area like yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Ear pain, Paraesthesia — Feeling: Fair · Site: Pain, Swelling, Itching · Be unable to work, Be unable to do your normal daily activities

Free text: Slight tingle feeling sometimes in neck. Ear ache and sore armpit on vaccination side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: Armpit pain on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 7, dose 1
MedDRA: Axillary pain, Neck pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Sore armpit and neck in injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Dose 2 — Moderna
2021-05-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Dizzy when sitting, dizzy when standing, passing out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state, Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy confused

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Nausea, Abdominal pain

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Good · Nausea

Adult check-in
2021-05-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-11-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-03
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had Covid-19

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Call 1 — Could Not Reach Participant
2022-05-10
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-03	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-04	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-05

Systemic reaction (other): Slight tingling feeling on my neck and face of vaccination side. Odd feeling from neck/ear/cheek area.

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Still have an odd feeling in my face on injection side. Only my check and eat and not around my neck area like yesterday.

2021-04-09

Systemic reaction (other): Slight tingle feeling sometimes in neck. Ear ache and sore armpit on vaccination side.

2021-04-11

Systemic reaction (other): Armpit pain on injection side

Release 7 — day 7, dose 1

2021-04-12

Systemic reaction (other): Sore armpit and neck in injection side

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Dizzy when sitting, dizzy when standing, passing out

2021-05-05

Systemic reaction (other): Dizzy confused

Release 11 — 12 months, dose 2

2022-05-03

Symptoms: Had Covid-19

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	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Sensory disturbance	✓	✓	✓

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