3DL-24518-28825 · OpenVSafe

Timeline

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

2021-01-22
Dose 1 — Moderna
2021-01-23
Registered in v-safe
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Headache — Feeling: Good · Chills, Headache

Free text: The chills come and go. Headaches come and go also

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: None today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — 3 months, dose 2
MedDRA: Dry mouth, Insomnia, Office visit, Tongue coated — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Very dry mouth. Tongue sticks to roof of mouth. And thick white stuff on tongue. Went to ENT specialist 3 times. Told me to rinse with biotin and use Polaris drops. Nothing they can do. Meanwhile I have a hard time sleeping. Help. · Healthcare visit (other): ENT specialists

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Dry mouth, Office visit — 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

Free text: Symptoms: Very bad dry mouth · Healthcare visit (other): 5 office visit to Ent

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-23
Call 1 — Left Voicemail
2022-02-19
Survey response — 12 months, dose 2
MedDRA: COVID-19, Dry mouth, Glossodynia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Very dry mouth and sore tongue. Went to specialist 5 times. Determined that there is no more he can do. Could be an auto-immune disease from either shot or having Covid. Very hard to live with. · Healthcare visit (other): Regular office visits

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-21
Call 1 — Left Voicemail
2022-02-22
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Light headed

2021-01-28

Systemic reaction (other): The chills come and go. Headaches come and go also

Release 3 — day 7, dose 1

2021-01-31

Systemic reaction (other): None today

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Very dry mouth. Tongue sticks to roof of mouth. And thick white stuff on tongue. Went to ENT specialist 3 times. Told me to rinse with biotin and use Polaris drops. Nothing they can do. Meanwhile I have a hard time sleeping. Help.

Healthcare visit (other): ENT specialists

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Very bad dry mouth

Healthcare visit (other): 5 office visit to Ent

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Very dry mouth and sore tongue. Went to specialist 5 times. Determined that there is no more he can do. Could be an auto-immune disease from either shot or having Covid. Very hard to live with.

Healthcare visit (other): Regular office visits

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	Office visit	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dry mouth	✓	✓	✓
SD	Glossodynia	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Tongue coated	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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