YQY-33196-11173 · OpenVSafe

Timeline

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

2021-01-14
Dose 1 — Moderna
2021-02-03
Registered in v-safe
2021-02-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Survey response — day 28, dose 1
MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Developed rash on back of neck. Went to dr. Do not believe it is related from vaccine. I received vaccine a month ago. · Healthcare visit (other): Primary doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Dose 2 — Moderna
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash, Pyrexia — Feeling: Good · Site: Pain, Itching

Free text: Had some fever night of Feb 14. Have rash on arm where I had shot. Still mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-26
Survey response — day 14, dose 2
MedDRA: Immunisation reaction, Rash — Feeling: Good

Free text: Rash has remained on back of neck and one place on face. It is getting better. I made appt with dermatologist but cant see till Mar 9. I did have the COVID arm. I did take pics of it at the time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 21, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: Like a sinus infection or cold and little dry feeling in chest. I have not gone for a COVID test since I had both vaccines. No temp from what I can tell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-20
Call 1 — Left Voicemail
2021-08-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-11	Unsuccessful

Free text

Release 4 — day 28, dose 1

2021-02-11

Symptoms: Developed rash on back of neck. Went to dr. Do not believe it is related from vaccine. I received vaccine a month ago.

Healthcare visit (other): Primary doctor visit

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Had some fever night of Feb 14. Have rash on arm where I had shot. Still mild

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Rash has remained on back of neck and one place on face. It is getting better. I made appt with dermatologist but cant see till Mar 9. I did have the COVID arm. I did take pics of it at the time

Release 5 — day 21, dose 2

2021-03-07

Symptoms: Like a sinus infection or cold and little dry feeling in chest. I have not gone for a COVID test since I had both vaccines. No temp from what I can tell

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	Immunisation reaction	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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