ZFA-10135-31814 · OpenVSafe

Timeline

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

2021-01-28
Dose 1 — Moderna
2021-02-25
Dose 2 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Survey response — day 14, dose 2
MedDRA: Arthralgia, Erythema, Injection site pain, Myalgia, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: First I had a stomach rash three days after the second dose.. now I feel lots ofMmuscular pains in knees andUpper backJoints. This morning I found sweeping around one ofMy toes very red like a blister felt pain at injection site both shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Survey response — day 28, dose 2
MedDRA: Skin burning sensation, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My toe has had swelling and is red and burning like a blister around one toe and now another toe is slightly red on skin around nail.. was put on antibiotics oral and topical and blood test just came back negative for infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Adverse reaction, Arthralgia, Back pain, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: horrible back and hip pain. awaiting mri results. I was presumed positive even though I tested negative on a pcr. i had all symptoms and my husband tested positive. i was also boosted. my doctor said to assume I was positive.. · Healthcare visit (other): doctor visit

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-10-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-25	Moderna
3	2021-10-29	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-25	Successful 2022-01-14	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-28	Successful 2022-02-01	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — day 14, dose 2

2021-03-12

Symptoms: First I had a stomach rash three days after the second dose.. now I feel lots ofMmuscular pains in knees andUpper backJoints. This morning I found sweeping around one ofMy toes very red like a blister felt pain at injection site both shot

Release 6 — day 28, dose 2

2021-03-25

Symptoms: My toe has had swelling and is red and burning like a blister around one toe and now another toe is slightly red on skin around nail.. was put on antibiotics oral and topical and blood test just came back negative for infection

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: horrible back and hip pain. awaiting mri results. I was presumed positive even though I tested negative on a pcr. i had all symptoms and my husband tested positive. i was also boosted. my doctor said to assume I was positive..

Healthcare visit (other): doctor visit

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	Office visit	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Office visit	·	·	✓
SD	Rash	✓	✓	✓
SD	Skin burning sensation	✓	✓	✓
SD	Swelling	✓	✓	✓

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