Z5F-84300-06003 · OpenVSafe

Timeline

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

2020-12-31
Dose 1 — Moderna
2021-01-01
Registered in v-safe
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-07
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-01-29
Survey response — day 0, dose 2
MedDRA: Injection site urticaria, Rash, Swelling face, Urticaria — Feeling: Poor · Site: Pain, Redness · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Face swelling and rash, most on right side of face (the side I got the injection) small hives on face and around injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Pain, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Horrible lower back pain where I've had 2 spinal fusions. Pain radiating into my legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Injection site pruritus, Pruritus, Swollen tongue — Feeling: Poor · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Last night my back and butt was red and itchy along with my arm and side that I had the injection in. Tongue is still swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness · Joint pains, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Survey response — day 14, dose 2
MedDRA: Arthralgia, Joint swelling — Feeling: Poor · Be unable to work

Free text: Swelling and pain in joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 21, dose 2
MedDRA: Generalised oedema — Feeling: Poor · Be unable to work

Free text: Whole body swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-01
Survey response — 6 months, dose 2
MedDRA: Epstein-Barr virus infection, Lyme disease — Feeling: Fair · Be unable to work or attend school

Free text: Lyme disease/Epstein Barr

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-29	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-01	priority 2/3

Free text

Release 3 — day 0, dose 2

2021-01-29

Systemic reaction (other): Face swelling and rash, most on right side of face (the side I got the injection) small hives on face and around injection site

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Horrible lower back pain where I've had 2 spinal fusions. Pain radiating into my legs

2021-01-31

Systemic reaction (other): Last night my back and butt was red and itchy along with my arm and side that I had the injection in. Tongue is still swollen.

Release 4 — day 14, dose 2

2021-02-12

Symptoms: Swelling and pain in joints

Release 4 — day 21, dose 2

2021-02-19

Symptoms: Whole body swelling.

Release 9 — 6 months, dose 2

2021-08-01

Symptoms: Lyme disease/Epstein Barr

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	Arthralgia	✓	✓	✓
SD	Epstein-Barr virus infection	✓	·	✓
SD	Generalised oedema	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Lyme disease	✓	·	✓
SRO	Back pain	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site urticaria	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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