YHW-36491-50152 · OpenVSafe

Timeline

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

2021-02-10
Dose 1 — Moderna
2021-02-11
Registered in v-safe
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site swelling, Pain, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left arm pain where I got the shot it is swollen I put ice on it and it is painful to lift what to use

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site erythema, Injection site pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Free text: Every day so far since I've gotten the shot I have had to answer these questions. I am concerned about the redness and the swelling and the pain associated where I got the injection. No one has called me and we are now going on day 5 of my adverse reactions to the immunization. I'm wondering if I even need the second dose since my reactions were so extreme. Many people that got the first dose did not have a reaction as I have now had for 5 days. When I close these correspondences with idph it tells me someone will call me but no one called me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2021-08-11
Survey response — 6 months, dose 1
MedDRA: Colitis, Costochondritis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Colitis and costo condritis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-08-11	Successful 2021-08-17	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Left arm pain where I got the shot it is swollen I put ice on it and it is painful to lift what to use

2021-02-14

Systemic reaction (other): Every day so far since I've gotten the shot I have had to answer these questions. I am concerned about the redness and the swelling and the pain associated where I got the injection. No one has called me and we are now going on day 5 of my adverse reactions to the immunization. I'm wondering if I even need the second dose since my reactions were so extreme. Many people that got the first dose did not have a reaction as I have now had for 5 days. When I close these correspondences with idph it tells me someone will call me but no one called me.

Release 9 — 6 months, dose 1

2021-08-11

Symptoms: Colitis and costo condritis

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	Colitis	✓	·	✓
SD	Costochondritis	✓	·	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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