Z34-25585-56262 · OpenVSafe

Timeline

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

2021-01-21
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-04
Survey response — day 14, dose 1
MedDRA: Chills, Pyrexia, Rash, Skin warm, Tenderness — Feeling: Good · Be unable to do your normal daily activities

Free text: Continued progression of rash. As one slot has cleared, another spot or two appear. Warm and tender to the touch. All spots appearing on my upper arm from elbow to shoulder. Have experienced chills and low grade fever about 3 or 4 days in a row.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 21, dose 1
MedDRA: Contusion, Rash, Swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: Continued spread of rash/bruising areas and small lump remains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Dose 2 — Moderna
2021-02-26
Survey response — day 7, dose 2
MedDRA: Contusion — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Faint bruising on left from 1st vaccine (lymph node areas). Received 2nd dose in right arm.

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

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 42, dose 2
MedDRA: Rash — Feeling: Good

Free text: New skin rash. How to treat with hydrocortisone cream. Will follow up with a dermatologist in a few weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — 3 months, dose 2
MedDRA: Herpes zoster, Medical counselling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Developed Shingles. · Healthcare visit (other): In person office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-20	Unsuccessful

Free text

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Continued progression of rash. As one slot has cleared, another spot or two appear. Warm and tender to the touch. All spots appearing on my upper arm from elbow to shoulder. Have experienced chills and low grade fever about 3 or 4 days in a row.

Release 4 — day 21, dose 1

2021-02-11

Symptoms: Continued spread of rash/bruising areas and small lump remains.

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Faint bruising on left from 1st vaccine (lymph node areas). Received 2nd dose in right arm.

Release 6 — day 42, dose 2

2021-04-01

Symptoms: New skin rash. How to treat with hydrocortisone cream. Will follow up with a dermatologist in a few weeks.

Release 8 — 3 months, dose 2

2021-05-20

Symptoms: Developed Shingles.

Healthcare visit (other): In person office visit

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	Medical counselling	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Skin warm	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Tenderness	✓	✓	✓
SRO	Contusion	✓	✓	✓

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