YYJ-16417-60524 · OpenVSafe

Timeline

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

2021-01-09
Dose 1 — Moderna
2021-01-18
Registered in v-safe
2021-01-18
Survey response — day 7, dose 1
MedDRA: Chills, Dyspnoea, Headache, Joint swelling, Office visit, Pain, Paraesthesia oral, Peripheral swelling, Steroid therapy, Sunburn, Swelling, Swelling face, Swollen tongue — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Yes my feet and ankles wrists legs knees face and neck swelled 6 times 5 days later after injection my tongue swelled and tingles I had body aches and chills right after. I couldnt breath went to the urgent care and had to get steroid shot a day after that I had a bad headache and then got a sunburn face and body and blistered on my chest. Still not feeling well. · Healthcare visit (other): Went to the urgent care I couldnt breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-25
Survey response — day 14, dose 1
MedDRA: Arthralgia, Hypersensitivity, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Since the vaccine that I had severe allergic reaction. I have had fevers and all my joints are hurting. Its upsetting that you are allowing that lot # to be used after how sick I was and after I have heard many other people had anaphylaxis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 35, dose 1
MedDRA: Arthralgia, Fatigue — Feeling: Fair

Free text: Joint ache and extremely tired since my first shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-18	Unsuccessful

Free text

Release 2 — day 7, dose 1

2021-01-18

Systemic reaction (other): Yes my feet and ankles wrists legs knees face and neck swelled 6 times 5 days later after injection my tongue swelled and tingles I had body aches and chills right after. I couldnt breath went to the urgent care and had to get steroid shot a day after that I had a bad headache and then got a sunburn face and body and blistered on my chest. Still not feeling well.

Healthcare visit (other): Went to the urgent care I couldnt breath

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Since the vaccine that I had severe allergic reaction. I have had fevers and all my joints are hurting. Its upsetting that you are allowing that lot # to be used after how sick I was and after I have heard many other people had anaphylaxis

Release 4 — day 35, dose 1

2021-02-17

Symptoms: Joint ache and extremely tired since my first shot

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	Dyspnoea	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Steroid therapy	✓	✓	✓
SRO	Sunburn	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓

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