YHR-16225-88136 · OpenVSafe

Timeline

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

2021-03-16
Dose 1 — Moderna
2021-04-16
Dose 2 — Moderna
2021-04-21
Registered in v-safe
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Limb mass, Swelling, Unevaluable event — Feeling: Poor · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): On top of shoulder toward my back were my liploma site is enkarge since i got shot in left arm. liLump on should · Healthcare visit (other): Pulmuary follow up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Liplama has gotten large, shorteness of breathing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 7, dose 2
MedDRA: Joint swelling — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Swelling liplima on shoulder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-18
Survey response — 6 months, dose 2
MedDRA: Dyspnoea exertional, Loss of personal independence in daily activities, Muscular weakness, Neck pain, Pain in extremity, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Weakness in my legs, neck and arms lots of pain. Still having difficuty with shortness with breathing with most activites.muscl and joint throught out my whole body which is limited me from being independent and needing help to get thing done.

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-20
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-16	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-21	Successful	Participant prefers to complete VAERS report online
2021-10-18	Successful 2021-10-20	Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): On top of shoulder toward my back were my liploma site is enkarge since i got shot in left arm. liLump on should

Healthcare visit (other): Pulmuary follow up

2021-04-22

Systemic reaction (other): Liplama has gotten large, shorteness of breathing.

Release 7 — day 7, dose 2

2021-04-23

Systemic reaction (other): Swelling liplima on shoulder.

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: Weakness in my legs, neck and arms lots of pain. Still having difficuty with shortness with breathing with most activites.muscl and joint throught out my whole body which is limited me from being independent and needing help to get thing done.

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	Unevaluable event	✓	✓	✓
SD	Dyspnoea exertional	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Limb mass	✓	✓	✓
SRO	Swelling	✓	✓	✓

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