YJW-20009-90250 · OpenVSafe

Timeline

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

2021-04-08
Dose 1 — Moderna
2021-04-21
Registered in v-safe
2021-04-21
Survey response — day 7, dose 1
MedDRA: Pain, Rash, Rash papular — Feeling: Good · Site: Redness

Free text: I experienced mild/moderate symptoms for 2 days after vaccination but on day 8 I got a large, swollen, sore rash. It is still slightly red but swelling is gone and soreness is minimal. soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Moderna
2021-05-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Swelling — Feeling: Good · Site: Pain, Redness, Swelling · Headache

Free text: Starting with the same site rash that I developed on day 8 after first shot. That one became quite large and swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Very strangely, the other arn which had the first shot is red again. Not the exact same rash as before but certainly red in the same area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-05-06
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-06	Moderna

Free text

Release 7 — day 7, dose 1

2021-04-21

Systemic reaction (other): I experienced mild/moderate symptoms for 2 days after vaccination but on day 8 I got a large, swollen, sore rash. It is still slightly red but swelling is gone and soreness is minimal. soreness

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Starting with the same site rash that I developed on day 8 after first shot. That one became quite large and swollen.

2021-05-09

Systemic reaction (other): Very strangely, the other arn which had the first shot is red again. Not the exact same rash as before but certainly red in the same area.

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
SRO	Erythema	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash papular	✓	✓	✓
SRO	Swelling	✓	✓	✓

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