ZSF-21538-55286 · OpenVSafe

Timeline

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

2021-01-18
Registered in v-safe
2021-01-18
Dose 1 — Moderna
2021-01-18
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Headache

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Anaphylaxis treatment, Burning sensation, Injection site discomfort, Skin burning sensation — Feeling: Good · Site: Pain · Headache

Free text: 12 hrs after vaccine, experienced burning sensation to left forearm-hand and left occipital area of head. Injection site was left deltoid. Discomfort moderate. Immediately took Benadryl and signs/symptoms subsided within 30 minutes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal discomfort, Throat clearing, Urticaria — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Mild hives on right upper leg and throat discomfort where I find myself clearing throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Pharyngeal swelling, Urticaria — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Hives to abdomen and lower extremity bilateral; throat swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Joint stiffness — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Moderate Pain to joints; stiffness of joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-02
Survey response — day 7, dose 2
MedDRA: Muscular weakness — Feeling: Good · Site: Itching

Free text: Muscle weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-23	Moderna

Free text

Release 2 — day 0, dose 1

2021-01-18

Systemic reaction (other): No

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): 12 hrs after vaccine, experienced burning sensation to left forearm-hand and left occipital area of head. Injection site was left deltoid. Discomfort moderate. Immediately took Benadryl and signs/symptoms subsided within 30 minutes.

2021-01-20

Systemic reaction (other): Mild hives on right upper leg and throat discomfort where I find myself clearing throat

2021-01-21

Systemic reaction (other): Hives to abdomen and lower extremity bilateral; throat swelling

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Moderate Pain to joints; stiffness of joints

Release 4 — day 7, dose 2

2021-03-02

Systemic reaction (other): Muscle weakness

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
SRO	Anaphylaxis treatment	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Injection site discomfort	✓	✓	✓
SRO	Joint stiffness	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Skin burning sensation	✓	✓	✓
SRO	Throat clearing	✓	·	✓
SRO	Urticaria	✓	✓	✓

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