ZTM-35128-29680 · OpenVSafe

Timeline

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Moderna
2021-02-25
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

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

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Survey response — day 14, dose 1
MedDRA: Erythema, Pain in extremity, Peripheral swelling, Pruritus — Feeling: Fair · Be unable to do your normal daily activities

Free text: My arm is red, swollen, sore, and itchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 21, dose 1
MedDRA: Anxiety, Injection site pain, Nervousness, Periarthritis, Physiotherapy, Seizure, Sleep disorder, Swelling face — Feeling: Fair · 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: My left cheek is swollen and left of face feels very tight.My arm is still sore, especially at injection site. Can't sleep at night. Am so nervous/anxious.2nd shot is Wed March 24Take Advil/ice arm. Physical therapy on right frozen shoulder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-05-27
Survey response — 3 months, dose 1
MedDRA: Arthralgia, Breast pain, Fatigue, Hypoaesthesia, Insomnia, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Painful ankles/lower legs/ numbness of toes, jointpain, fatigue, breast pain,sleepless nights.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-16
Dose 3 — Moderna
2022-03-08
Call 1 — Left Voicemail
2022-10-16
Survey response — 12 months, dose 3
MedDRA: Dyspepsia, Ear disorder, Fatigue, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Unexplainable rashes on both arms . Problem in my left ear. Indigestion, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-04-21	Moderna	No
3	2021-10-16	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-18	Unsuccessful
2021-05-27	Unsuccessful
2022-10-16	Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-11

Symptoms: My arm is red, swollen, sore, and itchy.

Release 5 — day 21, dose 1

2021-03-18

Symptoms: My left cheek is swollen and left of face feels very tight.My arm is still sore, especially at injection site. Can't sleep at night. Am so nervous/anxious.2nd shot is Wed March 24Take Advil/ice arm. Physical therapy on right frozen shoulder.

Release 8 — 3 months, dose 1

2021-05-27

Symptoms: Painful ankles/lower legs/ numbness of toes, jointpain, fatigue, breast pain,sleepless nights.

Release 12 — 12 months, dose 3

2022-10-16

Symptoms: Unexplainable rashes on both arms . Problem in my left ear. Indigestion, fatigue.

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	Anxiety	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Dyspepsia	·	·	✓
SD	Ear disorder	·	·	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Nervousness	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Periarthritis	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Physiotherapy	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	·	·	✓
SD	Seizure	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Swelling face	✓	✓	✓

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