Z93-14345-12054 · OpenVSafe

Timeline

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

2020-12-26
Dose 1 — Moderna
2020-12-28
Registered in v-safe
2020-12-28
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Light headache that started around 4 pm today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Survey response — day 14, dose 1
MedDRA: Burning sensation, Pruritus, Rash — Feeling: Fair

Free text: Unsure if related but developed a rash ( bumpy) on my body that is mostly on my arms. with Itchy and light burning sensations. Started about a week ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — day 21, dose 1
MedDRA: Pruritus, Rash — Feeling: Fair

Free text: Continue with a rash and itching to my body. I am not on any new medications. I do not take any medications. I have not tried any new products or foods. It is puzzling but want to report it in case it is related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Dose 2 — Moderna
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Chills — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Moderna
2	2021-01-21	Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): Light headache that started around 4 pm today.

Release 1 — day 14, dose 1

2021-01-10

Symptoms: Unsure if related but developed a rash ( bumpy) on my body that is mostly on my arms. with Itchy and light burning sensations. Started about a week ago.

Release 2 — day 21, dose 1

2021-01-18

Symptoms: Continue with a rash and itching to my body. I am not on any new medications. I do not take any medications. I have not tried any new products or foods. It is puzzling but want to report it in case it is related to the vaccine.

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Chills

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	Burning sensation	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Headache	✓	✓	✓

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