Z8R-17964-35774 · OpenVSafe

Timeline

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

2021-02-19
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Survey response — day 14, dose 1
MedDRA: Injection site reaction, Pruritus, Rash erythematous, Rash pruritic — Feeling: Fair

Free text: This is my 1st check-in. For the record, 4 days after 1st shot, I exhibited a red itchy skin rash emanating from injection point and downward on my arm. I still have the rash 19 days later, but not so irritating. Possible reaction to the lipid?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Moderna
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache, Insomnia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Couldnt sleep last night, although diet wasnt changed. May be the cause of the fatigue and headache, in addition to the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-26
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Itching

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 14, dose 2
MedDRA: Insomnia, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Note: my first cold symptoms of entire year started days after my 1st shot, and continued after 2nd through this week, with recent symptoms worse: head, nasal, wet runny nose, sneezing, impacting sleep, no fever, bad at night &early mornings.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Arthropod bite — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Received a tick bite behind an ear(!). Just completed a 14-day doxycycline regimen. Had swollen salivary glands and possibly lymph nodes from it. Better now; signs disappeared. Otherwise, fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call 1 — Left Voicemail
2021-09-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna
2	2021-03-19	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-06-18	Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-10

Symptoms: This is my 1st check-in. For the record, 4 days after 1st shot, I exhibited a red itchy skin rash emanating from injection point and downward on my arm. I still have the rash 19 days later, but not so irritating. Possible reaction to the lipid?

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Couldnt sleep last night, although diet wasnt changed. May be the cause of the fatigue and headache, in addition to the injection.

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): None

Release 6 — day 14, dose 2

2021-04-02

Symptoms: Note: my first cold symptoms of entire year started days after my 1st shot, and continued after 2nd through this week, with recent symptoms worse: head, nasal, wet runny nose, sneezing, impacting sleep, no fever, bad at night &early mornings.

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Received a tick bite behind an ear(!). Just completed a 14-day doxycycline regimen. Had swollen salivary glands and possibly lymph nodes from it. Better now; signs disappeared. Otherwise, fine.

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	Arthropod bite	✓	✓	✓
SD	Injection site reaction	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pruritus	✓	✓	○
SD	Rash erythematous	·	·	✓
SD	Rash pruritic	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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