ZCS-97649-15154 · OpenVSafe

Timeline

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

2021-03-12
Dose 1 — Moderna
2021-03-20
Registered in v-safe
2021-03-20
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy, Pain, Swelling, Tenderness — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains

Free text: Current unilateral axillary lymphadenopathy, swelling, & tenderness same side as vaccination injection - initially mild w/ onset hours after injection. Of note, on date received injection had several sharp stabbing intermittent pains of left/mid sternum & right hip an hour after vaccination lasting seconds at a time, resolved post vaccination day #2

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 21, dose 1
MedDRA: Chest pain, Dyspnoea, Nasal congestion, Oropharyngeal pain — Feeling: Fair · Be unable to work

Free text: Mild Shortness of breath, mild chest pain, heart rate >100bpm while walking, nasal congestion, sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 28, dose 1
MedDRA: Blood pressure increased, Chest pain, Palpitations, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Intermittent chest pain, sharp stabbing, squeezing, intermittent. Worse with laying down, palpitations, elevated BP. · Healthcare visit (other): Awaiting appointment, called triage RN at night, almost went to ED x 2 but decided not to

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Dose 2 — Moderna
2021-04-24
Survey response — day 7, dose 2
MedDRA: Breast pain, Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Left axillary lymph swelling same arm of injection, breast pain and lymph swelling of left breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-03-25
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-15	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-10	Successful 2022-03-25	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 6 — day 7, dose 1

2021-03-20

Systemic reaction (other): Current unilateral axillary lymphadenopathy, swelling, & tenderness same side as vaccination injection - initially mild w/ onset hours after injection. Of note, on date received injection had several sharp stabbing intermittent pains of left/mid sternum & right hip an hour after vaccination lasting seconds at a time, resolved post vaccination day #2

Release 6 — day 21, dose 1

2021-04-02

Symptoms: Mild Shortness of breath, mild chest pain, heart rate >100bpm while walking, nasal congestion, sore throat.

Release 7 — day 28, dose 1

2021-04-10

Symptoms: Intermittent chest pain, sharp stabbing, squeezing, intermittent. Worse with laying down, palpitations, elevated BP.

Healthcare visit (other): Awaiting appointment, called triage RN at night, almost went to ED x 2 but decided not to

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): Left axillary lymph swelling same arm of injection, breast pain and lymph swelling of left breast

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
HCVO	Unevaluable event	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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