ZT6-12015-11389 · OpenVSafe

Timeline

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

2021-04-01
Dose 1 — Moderna
2021-04-30
Dose 2 — Moderna
2021-05-02
Registered in v-safe
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site scar — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: I have half moon scar where I was I heated. It just started today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Myalgia, Pain in extremity — Feeling: Fair · Site: Itching · Joint pains · Be unable to work, Be unable to do your normal daily activities

Free text: Woolen lymphnode in left arm ( same side where I got shot)Also, left arm and pectoral pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Painful lymphnode in my arm pit- left arm, same side of injection. BUT I also have swollen lymph node in my right groin area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Fever · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Lymphnode in my arm pit hurts, lymphnode in my groin hurts . Both less then yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Lymphnodes hurting in left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 7, dose 2
MedDRA: Fatigue, Lymph node pain — Feeling: Fair · Site: Pain · Be unable to work, Be unable to do your normal daily activities

Free text: Painful lymph nodes and extreme fatigue

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

Adult check-in
2021-05-21
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-06-04
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-31
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Respiratory disorder, Rhinorrhoea, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Runny nose, upper respiratory tract infection, difficulty breathing. After antibiotics (Z-Pack), got better. However, even after and week of feeling better, still have hard time breathing if HR is up.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-02
Call 1 — Left Voicemail
2021-11-04
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-30	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-10-31	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): I have half moon scar where I was I heated. It just started today.

2021-05-03

Systemic reaction (other): Woolen lymphnode in left arm ( same side where I got shot)Also, left arm and pectoral pain.

2021-05-04

Systemic reaction (other): Painful lymphnode in my arm pit- left arm, same side of injection. BUT I also have swollen lymph node in my right groin area.

2021-05-05

Systemic reaction (other): Lymphnode in my arm pit hurts, lymphnode in my groin hurts . Both less then yesterday

2021-05-06

Systemic reaction (other): Lymphnodes hurting in left arm

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): Painful lymph nodes and extreme fatigue

Release 10 — 6 months, dose 2

2021-10-31

Symptoms: Runny nose, upper respiratory tract infection, difficulty breathing. After antibiotics (Z-Pack), got better. However, even after and week of feeling better, still have hard time breathing if HR is up.

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
SD	Dyspnoea	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site scar	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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