2QX-11195-53860 · OpenVSafe

Timeline

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

2021-03-16
Dose 1 — Moderna
2021-04-13
Registered in v-safe
2021-04-13
Dose 2 — Moderna
2021-04-13
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain · Diarrhea

Free text: I know this is strange, but the dorsum of my nose has been intermittently numb. Never had this sensation before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Temporomandibular joint syndrome — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dorsum of nose is numb and TMJ hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 28, dose 2
MedDRA: Dry skin, Pruritus, Skin irritation, Skin lesion — Feeling: Fair

Free text: Skin irritation/sores that are itchy on extremities and upper back. They are not raised welts or like a mosquito/fleas/chigger or other insect bite (Im a PhD entomologist so I would know). It is sporadically spread 5mm or less itchy dry patches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-13
Survey response — 12 months, dose 2
MedDRA: COVID-19, Fatigue, Headache, Sinusitis, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Symptoms: I was diagnosed with covid in Jan 2022. Symptoms included headaches severe fatigue and a sinus infection · Healthcare visit (other): Infusion

MedDRA releases: 2024-11 · check-in free text available
2022-04-13
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2022-04-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): I know this is strange, but the dorsum of my nose has been intermittently numb. Never had this sensation before.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Dorsum of nose is numb and TMJ hurts

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Skin irritation/sores that are itchy on extremities and upper back. They are not raised welts or like a mosquito/fleas/chigger or other insect bite (Im a PhD entomologist so I would know). It is sporadically spread 5mm or less itchy dry patches.

Release 11 — 12 months, dose 2

2022-04-13

Symptoms: I was diagnosed with covid in Jan 2022. Symptoms included headaches severe fatigue and a sinus infection

Healthcare visit (other): Infusion

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	Unevaluable event	·	·	✓
SD	COVID-19	·	·	✓
SD	Dry skin	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Skin irritation	✓	✓	✓
SD	Skin lesion	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Temporomandibular joint syndrome	✓	✓	✓

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