YLC-87737-75908 · OpenVSafe

Timeline

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

2021-02-19
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Survey response — day 21, dose 1
MedDRA: Inflammation, Pruritus, Syncope, Urticaria — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: after receiving first vaccine, I had itching, hives, inflammatory issues, syncope.The itching, inflammation and general I'll feeling has continued for over 2 weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 28, dose 1
MedDRA: Inflammation, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: Inflammatory response is still causing swelling in my hand.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-04-02
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-05-21
Survey response — 3 months, dose 1
MedDRA: Dermatitis, Pre-existing disease, Psoriatic arthropathy, Rheumatoid arthritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diagnosed with psoriatic arthritis, and rheumatoid arthritis and contact dermatitis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-20
Survey response — 6 months, dose 1
MedDRA: Hypoaesthesia, Migraine, Pruritus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Frequent migraines, still some itching and numbness in arm.Still ongoing problems as previously reported.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-19
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in
2022-05-10
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-21	Successful 2022-05-10	Participant prefers to complete VAERS report online

Free text

Release 5 — day 21, dose 1

2021-03-12

Symptoms: after receiving first vaccine, I had itching, hives, inflammatory issues, syncope.The itching, inflammation and general I'll feeling has continued for over 2 weeks.

Release 5 — day 28, dose 1

2021-03-19

Symptoms: Inflammatory response is still causing swelling in my hand.

Release 8 — 3 months, dose 1

2021-05-21

Symptoms: Diagnosed with psoriatic arthritis, and rheumatoid arthritis and contact dermatitis.

Release 9 — 6 months, dose 1

2021-08-20

Symptoms: Frequent migraines, still some itching and numbness in arm.Still ongoing problems as previously reported.

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	Dermatitis	✓	✓	✓
SD	Hypoaesthesia	✓	·	✓
SD	Inflammation	✓	✓	✓
SD	Migraine	✓	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Psoriatic arthropathy	✓	✓	✓
SD	Rheumatoid arthritis	✓	✓	✓
SD	Syncope	✓	✓	✓
SD	Urticaria	✓	✓	✓

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