ZAD-19936-92823 · OpenVSafe

Timeline

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

2021-04-01
Dose 1 — Moderna
2021-04-02
Registered in v-safe
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Just having itchy areas on my arms and legs.

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I really think that I haven't felt great since shot but attributing to other things...stomach ache last night which is new.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-25
Survey response — day 21, dose 1
MedDRA: Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Possible kidney issues. Went to doctors on 4/23. Waiting for results.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-06
Survey response — 12 months, dose 1
MedDRA: Arthralgia, Condition aggravated, Pre-existing disease — 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: Developed severe pain in right shoulder. Had rotator surgery in 2007 with no issues. Now it feels worse than before the surgery. No incidents to re-injure it. Now having pain in left shoulder. Doctor says could be frozen shoulder, busitus or tendinit

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Report sent to call center — 12 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-06
Call successful
Participant prefers to complete VAERS report online
2022-04-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-25	Successful 2022-04-06	Participant prefers to complete VAERS report online
2022-04-06	Successful 2022-04-11	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Just having itchy areas on my arms and legs.

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): I really think that I haven't felt great since shot but attributing to other things...stomach ache last night which is new.

Release 7 — day 21, dose 1

2021-04-25

Symptoms: Possible kidney issues. Went to doctors on 4/23. Waiting for results.

Release 11 — 12 months, dose 1

2022-04-06

Symptoms: Developed severe pain in right shoulder. Had rotator surgery in 2007 with no issues. Now it feels worse than before the surgery. No incidents to re-injure it. Now having pain in left shoulder. Doctor says could be frozen shoulder, busitus or tendinit 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	Arthralgia	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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