Z4H-28910-11866 · OpenVSafe

Timeline

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

2021-01-06
Dose 1 — Moderna
2021-02-03
Dose 2 — Moderna
2021-02-17
Registered in v-safe
2021-02-17
Survey response — day 14, dose 2
MedDRA: Headache, Pruritus, Self-medication — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I Had a Hestimine reaction on January 6th when I was administered the first vaccination shot. I waited the 15mintues and Had a bad headache and got super itchey. and every day since getting the Vaccine I have had to take antihestimine (benadryl).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Health check-in — day 21, dose 2
Feeling: Fair

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

Adult check-in
2021-03-10
Survey response — day 35, dose 2
MedDRA: Histamine intolerance, Pruritus, Self-medication — Feeling: Poor · Be unable to do your normal daily activities

Free text: Im still itchy andbhaving hestimine reactions where everything itches and i havebto take Benadryl.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 42, dose 2
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Poor · Be unable to work, 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: Both of my arms are swelling and painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — 3 months, dose 2
MedDRA: Lymphoedema, Myositis, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Lymph-edema. Epicondilitis lateral and medial if the right elbow carpal tunnel and arthritis in the thumb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-04
Survey response — 6 months, dose 2
MedDRA: Muscular weakness, Neuralgia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nerve pain, weakness in my arms.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Call 1 — Left Voicemail
2021-08-16
Call 2 — Left Voicemail
2021-08-25
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-17	Unsuccessful
2021-03-17	Successful 2021-08-25	Participant prefers to complete VAERS report online

Free text

Release 4 — day 14, dose 2

2021-02-17

Symptoms: I Had a Hestimine reaction on January 6th when I was administered the first vaccination shot. I waited the 15mintues and Had a bad headache and got super itchey. and every day since getting the Vaccine I have had to take antihestimine (benadryl).

Release 5 — day 35, dose 2

2021-03-10

Symptoms: Im still itchy andbhaving hestimine reactions where everything itches and i havebto take Benadryl.

Release 5 — day 42, dose 2

2021-03-17

Symptoms: Both of my arms are swelling and painful

Release 8 — 3 months, dose 2

2021-05-05

Symptoms: Lymph-edema. Epicondilitis lateral and medial if the right elbow carpal tunnel and arthritis in the thumb

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Nerve pain, weakness in my arms.

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	Headache	✓	✓	✓
SD	Histamine intolerance	✓	✓	✓
SD	Lymphoedema	✓	✓	✓
SD	Muscular weakness	✓	·	✓
SD	Myositis	✓	✓	✓
SD	Neuralgia	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Self-medication	✓	✓	✓

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