Z72-32451-57067 · OpenVSafe

Timeline

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

2021-02-01
Dose 1 — Moderna
2021-02-13
Registered in v-safe
2021-02-13
Survey response — day 7, dose 1
MedDRA: Injection site erythema, Injection site swelling, Urticaria — Feeling: Poor · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Free text: Started with redness and swelling at the injection site on 2/9. On 2/11 I started to break out in hives on my right arm and back shoulder as well as on my lower left arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 14, dose 1
MedDRA: Injection site infection, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I needed to take antibiotics for the infection in my arm at the injection site. Two days later I broke out in extensive hives for three days. Also, my second vaccine is scheduled for March 1. I have surgery scheduled for March 8. I have major concern

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call 1 — Left Voicemail
2022-02-03
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-17	Unsuccessful

Free text

Release 4 — day 7, dose 1

2021-02-13

Systemic reaction (other): Started with redness and swelling at the injection site on 2/9. On 2/11 I started to break out in hives on my right arm and back shoulder as well as on my lower left arm.

Release 4 — day 14, dose 1

2021-02-17

Symptoms: I needed to take antibiotics for the infection in my arm at the injection site. Two days later I broke out in extensive hives for three days. Also, my second vaccine is scheduled for March 1. I have surgery scheduled for March 8. I have major concern cut off by CDC

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 infection	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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