YRV-11897-03821 · OpenVSafe

Timeline

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

2021-02-04
Dose 1 — Moderna
2021-02-26
Registered in v-safe
2021-03-04
Dose 2 — Moderna
2021-03-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 14, dose 2
MedDRA: Contusion, Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth, Rash pruritic, Skin lesion — Feeling: Good

Free text: 6 plus weeks after first Moderna shot I still have a soft edged bruise about the size if a tennis ball. I believe I reported 2nd day dollar size raised, hot, swollen, bright pink lesion at injecting site, & @ 1 wk, itchy spreading rash for 7 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 21, dose 2
MedDRA: Injection site bruising, Injection site pain — Feeling: Good

Free text: Still have a 50 cent size light bruise and mild tenderness at vaccination site from FIRST vaccination February 4, so 6 1/2 weeks ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 28, dose 2
MedDRA: Vaccination site bruising, Vaccination site pain — Feeling: Good

Free text: Vaccination site of first shot on Feb 4 is still tender after 9 weeks. Bruise at that site finally went away this week. No problems with second shot site in glute.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-06
Survey response — 6 months, dose 2
MedDRA: Atrial fibrillation, Cardioversion, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: ER cardiovision September 3rd for prolonged AFib. Also had covid test. Negative results

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna

Free text

Release 6 — day 14, dose 2

2021-03-20

Symptoms: 6 plus weeks after first Moderna shot I still have a soft edged bruise about the size if a tennis ball. I believe I reported 2nd day dollar size raised, hot, swollen, bright pink lesion at injecting site, & @ 1 wk, itchy spreading rash for 7 days. cut off by CDC

Release 6 — day 21, dose 2

2021-03-25

Symptoms: Still have a 50 cent size light bruise and mild tenderness at vaccination site from FIRST vaccination February 4, so 6 1/2 weeks ago.

Release 6 — day 28, dose 2

2021-04-02

Symptoms: Vaccination site of first shot on Feb 4 is still tender after 9 weeks. Bruise at that site finally went away this week. No problems with second shot site in glute.

Release 9 — 6 months, dose 2

2021-09-06

Symptoms: ER cardiovision September 3rd for prolonged AFib. Also had covid test. Negative results

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	Atrial fibrillation	·	·	✓
SD	Cardioversion	·	·	✓
SD	Contusion	✓	✓	✓
SD	Injection site bruising	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site reaction	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Skin lesion	✓	✓	✓
SD	Vaccination site bruising	✓	✓	✓
SD	Vaccination site pain	✓	✓	✓

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