ZB2-67095-23402 · OpenVSafe

Timeline

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

2021-01-26
Dose 1 — Moderna
2021-02-25
Dose 2 — Moderna
2021-04-07
Registered in v-safe
2021-04-07
Survey response — day 35, dose 2
MedDRA: Bone density increased, Limb injury, Neck mass, Spinal operation, Vaccine positive rechallenge — Feeling: Fair

Free text: I got a lump on my collar bone after 1st shot and it went away. After 2 Nd shot a much larger lump on collar bone. Crated first and benign. Did nothing on this one as had back surgery. Not sure if related to vaccine as have minor damage to should

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 42, dose 2
MedDRA: Discomfort, Hypersensitivity, Nausea, Swelling, Upper-airway cough syndrome — Feeling: Fair

Free text: Lump on shoulder. Had back surgery and nauseated and uncomfortable. Allergies - drainage.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Painful joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Pain — Feeling: Fair

Free text: More severe body pains

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Dose 3 — Moderna
2021-11-30
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-01
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-04-03
Dose 4 — Pfizer-BioNTech
Co-administered: Other:Shingles
2022-04-14
Survey response — day 7, dose 4
MedDRA: Unevaluable event — Feeling: Good

Free text: I got the Prevnar 20 shot

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-25	Moderna
3	2021-08-29	Moderna	No
4	2022-04-03	Pfizer-BioNTech	Other:Shingles

Free text

Release 7 — day 35, dose 2

2021-04-07

Symptoms: I got a lump on my collar bone after 1st shot and it went away. After 2 Nd shot a much larger lump on collar bone. Crated first and benign. Did nothing on this one as had back surgery. Not sure if related to vaccine as have minor damage to should cut off by CDC

Release 7 — day 42, dose 2

2021-04-08

Symptoms: Lump on shoulder. Had back surgery and nauseated and uncomfortable. Allergies - drainage.

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Painful joints

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: More severe body pains

Release 11 — day 7, dose 4

2022-04-14

Systemic reaction (other): I got the Prevnar 20 shot

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	Bone density increased	○	✓	○
SD	Discomfort	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Limb injury	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Neck mass	✓	·	✓
SD	Pain	✓	·	✓
SD	Spinal operation	✓	·	✓
SD	Swelling	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SD	Vaccine positive rechallenge	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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