2WF-10329-27058 · OpenVSafe

Timeline

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

2020-12-31
Dose 1 — Moderna
2021-01-29
Dose 2 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Confusional state, Hypogeusia, Hyposmia, Parosmia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Slight confusion, some decreased taste and smell (NOT Complete)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Confusion is better and sense of smell returned. This is odd and I haven't heard it reported before so hope it helps in understanding pathophysiology of this in Covid19.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Anosmia — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Sense of smell returned completely.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-05
Survey response — day 7, dose 2
MedDRA: Gingival discomfort, Gingival pain — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: Wanted to note that in first few days after shot I had gingival pain and irritation I couldn't otherwise explain. Has now resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — 3 months, dose 2
MedDRA: Dry eye — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Severe dry eyes right worse than left. Mildly improved with Restaysis and punctal plugs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-29
Survey response — 12 months, dose 2
MedDRA: Electromyogram abnormal, Peripheral sensorimotor neuropathy, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sensorimotor Peripheral pyneuropathy....diagnosed by (b)(6). Started 2_3 months ago. Also chronic dry eye which is resistant to treatment...started in April.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-29	Moderna

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Slight confusion, some decreased taste and smell (NOT Complete)

2021-01-31

Systemic reaction (other): Confusion is better and sense of smell returned. This is odd and I haven't heard it reported before so hope it helps in understanding pathophysiology of this in Covid19.

2021-02-02

Systemic reaction (other): Sense of smell returned completely.

Release 3 — day 7, dose 2

2021-02-05

Systemic reaction (other): Wanted to note that in first few days after shot I had gingival pain and irritation I couldn't otherwise explain. Has now resolved.

Release 8 — 3 months, dose 2

2021-05-01

Symptoms: Severe dry eyes right worse than left. Mildly improved with Restaysis and punctal plugs.

Release 11 — 12 months, dose 2

2022-01-29

Symptoms: Sensorimotor Peripheral pyneuropathy....diagnosed by (b)(6). Started 2_3 months ago. Also chronic dry eye which is resistant to treatment...started in April.

redacted (b)(6)

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	Dry eye	✓	✓	✓
SD	Electromyogram abnormal	·	·	✓
SD	Peripheral sensorimotor neuropathy	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Ageusia	✓	✓	○
SRO	Anosmia	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Gingival discomfort	✓	✓	✓
SRO	Gingival pain	✓	✓	✓
SRO	Hypogeusia	·	·	✓
SRO	Hyposmia	·	·	✓
SRO	Parosmia	✓	✓	○

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