Y9Q-29927-43461 · OpenVSafe

Timeline

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

2021-03-03
Dose 1 — Moderna
2021-04-07
Registered in v-safe
2021-04-08
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-04-16
Survey response — day 42, dose 1
MedDRA: Arthralgia, Arthritis, Asthenia, Pre-existing disease, Rash, Sinus disorder, Toothache — Feeling: Good

Free text: Left upper Arm Rash 10 days after Inj. has improved Full mouth teeth pain. Sinuses (Allergies)All over joint pain. (I have Arthritis witch has increased with pain. Feeling slightly drained since injection on 3-25-21 Ferl good otherwise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — 3 months, dose 1
MedDRA: Arthralgia, Asthma, Eye pain, Fatigue, Memory impairment, Muscle spasms, Muscular weakness, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe Fatigue -Mental forgetful Eye Pain Severe muscle weakness w/Leg/feet increased spasms into contractions, shin splints.Asthma, w/deep Grabbing pain in Mid-Sternum several times lasting few Min. Severe Bilateral Hip Pain/Bursitis. Neck Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna

Free text

Release 7 — day 42, dose 1

2021-04-16

Symptoms: Left upper Arm Rash 10 days after Inj. has improved Full mouth teeth pain. Sinuses (Allergies)All over joint pain. (I have Arthritis witch has increased with pain. Feeling slightly drained since injection on 3-25-21 Ferl good otherwise

Release 8 — 3 months, dose 1

2021-06-04

Symptoms: Severe Fatigue -Mental forgetful Eye Pain Severe muscle weakness w/Leg/feet increased spasms into contractions, shin splints.Asthma, w/deep Grabbing pain in Mid-Sternum several times lasting few Min. Severe Bilateral Hip Pain/Bursitis. Neck Pain

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	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SD	Toothache	✓	✓	✓

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