YZZ-16938-81863 · OpenVSafe

Timeline

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

2021-01-13
Dose 1 — Moderna
2021-02-01
Registered in v-safe
2021-02-02
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Medical counselling, Rash macular, Self-medication — Feeling: Good

Free text: A few days after vaccination injection area about 3x3 inches very red no pain. A few days later many bright red dots on arm between elbow and hand. Sent picture to doc who said it not unusual even after almost 2 weeks and suggested benadryl.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Tenderness — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Arm has egg sized very tender area. Some motions hurt. Good day to rest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Insomnia, Loss of personal independence in daily activities, Pain — Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Could not sleep the next night pain headache. Cancelled nect day appointments

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Redness, Swelling

Free text: Lightheaded or faint until afternoon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Abdominal pain

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Rash — Feeling: Good

Free text: This past couple days i notice a similar but smaller rash to left forearm which is the one i got first mederna in. Does not itch. No other symptoms or concerns.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna

Free text

Release 3 — day 14, dose 1

2021-02-02

Symptoms: A few days after vaccination injection area about 3x3 inches very red no pain. A few days later many bright red dots on arm between elbow and hand. Sent picture to doc who said it not unusual even after almost 2 weeks and suggested benadryl.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Arm has egg sized very tender area. Some motions hurt. Good day to rest.

2021-02-12

Systemic reaction (other): Could not sleep the next night pain headache. Cancelled nect day appointments

2021-02-13

Systemic reaction (other): Lightheaded or faint until afternoon

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: This past couple days i notice a similar but smaller rash to left forearm which is the one i got first mederna in. Does not itch. No other symptoms or concerns.

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	Injection site erythema	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Rash	✓	·	✓
SD	Rash macular	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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