Z8D-32567-21410 · OpenVSafe

Timeline

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

2021-05-06
Registered in v-safe
2021-05-06
Dose 1 — Moderna
2021-05-06
Survey response — day 0, dose 1
MedDRA: Back pain, Lymphadenopathy, Swelling of eyelid — Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes swollen eye lids back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-05
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-11-04
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-06	Moderna

Free text

Release 8 — day 0, dose 1

2021-05-06

Systemic reaction (other): Swollen lymph nodes swollen eye lids back pain

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
SRO	Back pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Swelling of eyelid	✓	✓	✓

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