Z8Y-14969-55237 · OpenVSafe

Timeline

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

2021-04-12
Registered in v-safe
2021-04-12
Dose 1 — Moderna
2021-04-12
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Feel a little light-headed, but I haven't eaten yet it's been a busy day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion, Headache, Pain in extremity — Feeling: Good · Site: Pain · Headache

Free text: Just a mild headache, unusual but no big deal just thought I'd say so. My arm hurts just like someone punched me, again no big deal just feels like a little bruise there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Neck pain — Feeling: Good · Site: Pain

Free text: The pain in my shoulder persists but doesn't get worse. It seemed to spread up the left side of my neck but is lessening. Shot was in left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-07-12
Survey response — 3 months, dose 1
MedDRA: Herpes zoster — Feeling: Fair · 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: Shingles...again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-21
Call 1 — Left Voicemail
2022-04-14
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-07-12	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-12

Systemic reaction (other): Feel a little light-headed, but I haven't eaten yet it's been a busy day

Release 7 — days 1–6 daily, dose 1

2021-04-13

Systemic reaction (other): Just a mild headache, unusual but no big deal just thought I'd say so. My arm hurts just like someone punched me, again no big deal just feels like a little bruise there.

2021-04-14

Systemic reaction (other): The pain in my shoulder persists but doesn't get worse. It seemed to spread up the left side of my neck but is lessening. Shot was in left arm

Release 9 — 3 months, dose 1

2021-07-12

Symptoms: Shingles...again

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	Herpes zoster	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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