2PN-29866-02263

1 vaccination 8 coded responses 11 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 483 / MI
Registered: 2021-04-02

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-01
Dose 1 — Moderna
2021-04-02
Registered in v-safe
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Dysgeusia, Emergency care, Hypertension, Hypoaesthesia, Hypoaesthesia oral — Feeling: Poor · Site: Pain · Headache, Nausea · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Numbness on side of injection, started with tongue than moved to face. Metal taste. · Healthcare visit (other): I went to the ER almost immediately after getting the injection. It started with the numbness in my tongue and got worse from there. Its been 24 hours and still the side of my face on the injection side has sligjt numbness. Also had trouble forming words, pressure on chest and high blood pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Hypoaesthesia, Immediate post-injection reaction, Ophthalmoplegia, Vision blurred — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Whole left side of face that went numb 5min after shot still feels weird. Left eye feels weak and vision slightly blurry. Fatigue when trying to walk far or up stairs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: Weakness on side of face of injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Facial paresis, Headache, Hypersensitivity — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Tried a short run for the first time since the allergic reaction to the shot. After the run, weakness of face on side of injection and headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 1
MedDRA: Asthenia — Feeling: Fair · Headache

Free text: Weakness on face on side that had the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — day 14, dose 1
MedDRA: Asthenia, Hypoaesthesia, Vaccine positive rechallenge — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: This past week on Monday and Tuesday i had the same numbness and face weakness as i got after the first shot that sent me to the ER.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — day 21, dose 1
MedDRA: Back pain, Chest pain, Headache, Hyperacusis, Hypoaesthesia, Migraine, Muscular weakness — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Doctor ordered an MRI, its Sat. Continuing to have horrible migraines, constant background headache. Random face numbness. Chest pain (heartburn like), lower back pain and weakness in arms. Also now more sensitive to sound.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 28, dose 1
MedDRA: Hyperacusis, Hypoaesthesia oral, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still have numbing of tongue. Random weakness on arms. Sensitivity to sound.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-06-14
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-06
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-10-02
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

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

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Numbness on side of injection, started with tongue than moved to face. Metal taste.

Healthcare visit (other): I went to the ER almost immediately after getting the injection. It started with the numbness in my tongue and got worse from there. Its been 24 hours and still the side of my face on the injection side has sligjt numbness. Also had trouble forming words, pressure on chest and high blood pressure.

2021-04-03

Systemic reaction (other): Whole left side of face that went numb 5min after shot still feels weird. Left eye feels weak and vision slightly blurry. Fatigue when trying to walk far or up stairs.

2021-04-05

Systemic reaction (other): Weakness on side of face of injection site

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Tried a short run for the first time since the allergic reaction to the shot. After the run, weakness of face on side of injection and headache.

Release 7 — day 7, dose 1

2021-04-08

Systemic reaction (other): Weakness on face on side that had the injection

Release 7 — day 14, dose 1

2021-04-18

Symptoms: This past week on Monday and Tuesday i had the same numbness and face weakness as i got after the first shot that sent me to the ER.

Release 7 — day 21, dose 1

2021-04-22

Symptoms: Doctor ordered an MRI, its Sat. Continuing to have horrible migraines, constant background headache. Random face numbness. Chest pain (heartburn like), lower back pain and weakness in arms. Also now more sensitive to sound.

Release 8 — day 28, dose 1

2021-05-01

Symptoms: Still have numbing of tongue. Random weakness on arms. Sensitivity to sound.

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	Chest discomfort	✓	✓	✓
HCVO	Emergency care	✓	✓	✓
HCVO	Hypertension	✓	✓	✓
HCVO	Hypoaesthesia	✓	✓	✓
HCVO	Hypoaesthesia oral	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperacusis	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Hypoaesthesia oral	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Vaccine positive rechallenge	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Facial paresis	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Ophthalmoplegia	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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