ZG4-16313-44071 · OpenVSafe

Timeline

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

2020-12-30
Dose 1 — Moderna
2021-01-15
Registered in v-safe
2021-01-15
Survey response — day 14, dose 1
MedDRA: Cellulitis, Injection site erythema, Injection site warmth — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Cellulitis. 2-3 inches below injection site. Extremely red and spread quickly down my upper arm. Very very hot. Went to ER. Prescribed 500 mg Keflex 4 times day for 7 days. Cleared up but still have pinkish tint to the area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Hyperhidrosis, Pain, Pyrexia, Tenderness, Tremor — Feeling: Good · Site: Pain · Headache · Be unable to work

Free text: Had 2nd dose in right arm due to reaction in left arm after 1st dose. Night if 2nd dose and day after I got severe chills, shakes, spike 101.5 fever, sweats,z headache and severe body aches head to toe. Unable to go to work. 2nd day after woke up feeling fine. Arm still a little tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Call successful
Does not wish to fill out VAERS report
2021-07-29
Survey response — 6 months, dose 2
MedDRA: Corneal transplant, Ocular procedural complication — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cornea Transplant. Complications

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-01-28
Survey response — 12 months, dose 2
MedDRA: Office visit, Pneumonia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pnemonia · Healthcare visit (other): Urgent Care/PCP

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-01-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-28	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	Successful 2021-03-10	Does not wish to fill out VAERS report
2022-01-28	Successful 2022-01-31	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — day 14, dose 1

2021-01-15

Symptoms: Cellulitis. 2-3 inches below injection site. Extremely red and spread quickly down my upper arm. Very very hot. Went to ER. Prescribed 500 mg Keflex 4 times day for 7 days. Cleared up but still have pinkish tint to the area.

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Had 2nd dose in right arm due to reaction in left arm after 1st dose. Night if 2nd dose and day after I got severe chills, shakes, spike 101.5 fever, sweats,z headache and severe body aches head to toe. Unable to go to work. 2nd day after woke up feeling fine. Arm still a little tender.

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: Cornea Transplant. Complications

Release 11 — 12 months, dose 2

2022-01-28

Symptoms: Pnemonia

Healthcare visit (other): Urgent Care/PCP

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	Cellulitis	✓	✓	✓
SD	Corneal transplant	✓	·	✓
SD	Ear procedural complication	○	·	○
SD	Injection site erythema	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Ocular procedural complication	✓	·	✓
SD	Pneumonia	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Tremor	✓	✓	✓

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