ZHF-11911-99630 · OpenVSafe

Timeline

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-16
Survey response — day 14, dose 2
MedDRA: Atrial fibrillation, Heart rate increased — Feeling: Good

Free text: On April 12, 2021 I awoke at 7:02 AM and my heart was in A-FIB. After the second vaccination I experienced my heart was beating extremely rapidly and awoke me early morning several different days. Im on Atenolol 25 MG one-half tablet each mornin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Survey response — day 35, dose 2
MedDRA: Back pain, Fatigue — Feeling: Fair

Free text: IV been feeling very tired and beck still hurting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Poor

Free text: Numbness and tingling on right side of neck. ear lobe and facial area. I have an appointment on Monday with my family physician.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-03
Survey response — 6 months, dose 2
MedDRA: Electric shock sensation, Sensory disturbance — Feeling: Good

Free text: Having electrical pulse/sensations from my neck to my ear on the right side of my face.

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Dose 3 — Moderna
2022-04-06
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I've had problems with left arm & shoulder since I took booster. The pain came about gradually so I started doing rotation movement with arm & neck. I've not used weights. I've continue to do circles, reaches & stretches w/arm. · Healthcare visit (other): Doctor office visit.

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-12
Call 1 — Left Voicemail
2022-12-15
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2021-12-13	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-06	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): None

Release 7 — day 14, dose 2

2021-04-16

Symptoms: On April 12, 2021 I awoke at 7:02 AM and my heart was in A-FIB. After the second vaccination I experienced my heart was beating extremely rapidly and awoke me early morning several different days. Im on Atenolol 25 MG one-half tablet each mornin

Release 8 — day 35, dose 2

2021-05-07

Symptoms: IV been feeling very tired and beck still hurting.

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Numbness and tingling on right side of neck. ear lobe and facial area. I have an appointment on Monday with my family physician.

Release 9 — 6 months, dose 2

2021-10-03

Symptoms: Having electrical pulse/sensations from my neck to my ear on the right side of my face.

Release 11 — 12 months, dose 2

2022-04-06

Symptoms: I've had problems with left arm & shoulder since I took booster. The pain came about gradually so I started doing rotation movement with arm & neck. I've not used weights. I've continue to do circles, reaches & stretches w/arm.

Healthcare visit (other): Doctor office 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	Arthralgia	·	·	✓
SD	Atrial fibrillation	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Electric shock sensation	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Sensory disturbance	·	·	✓
SRO	No adverse event	✓	✓	✓

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