YBS-47062-96904 · OpenVSafe

Timeline

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

2021-04-07
Dose 1 — Moderna
2021-04-22
Registered in v-safe
2021-04-22
Survey response — day 14, dose 1
MedDRA: Fatigue, Hypoaesthesia, Injection site erythema, Injection site swelling, Nausea, Pain in extremity, Paraesthesia, Skin exfoliation — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I was sick to my stomach on the 1st one but just got my 2nd because the 1st wasnt kept at the right temp. My legs were numb and tingly, then they ached and I was tire. From my shoulder to my elbow my arm is swollen and red and my skin feel scaly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: I feel like I have the flu and a constant headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Survey response — 3 months, dose 1
MedDRA: Muscular weakness, Office visit, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I am still having periods of extreme weakness and swelling in my extremities. The swelling is not severe but I get it all over. · Healthcare visit (other): Saw my primary care. Now he is sending me to specialists.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-07-07	Unsuccessful

Free text

Release 7 — day 14, dose 1

2021-04-22

Symptoms: I was sick to my stomach on the 1st one but just got my 2nd because the 1st wasnt kept at the right temp. My legs were numb and tingly, then they ached and I was tire. From my shoulder to my elbow my arm is swollen and red and my skin feel scaly.

Release 8 — day 21, dose 1

2021-04-28

Symptoms: I feel like I have the flu and a constant headache

Release 9 — 3 months, dose 1

2021-07-07

Symptoms: I am still having periods of extreme weakness and swelling in my extremities. The swelling is not severe but I get it all over.

Healthcare visit (other): Saw my primary care. Now he is sending me to specialists.

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
HCVO	Office visit	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Skin exfoliation	✓	✓	✓

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