3ZW-11440-37309 · OpenVSafe

Timeline

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

2021-05-06
Dose 1 — Moderna
2021-05-11
Registered in v-safe
2021-05-11
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Facial pain, Lymph node pain, Lymphadenopathy, Pain in jaw, Sinus pain, Toothache — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Left ear hurts sinus hurt with tooth/ jaw pain and swollen lymph nodes jaw area tender/ sore hurts like hell my left side of my face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-20
Survey response — day 14, dose 1
MedDRA: Chest discomfort, Chills, Dyspnoea, Ear pain, Facial pain, Feeling jittery, Headache, Heart rate increased, Hot flush, Muscle spasms, Oropharyngeal pain, Pain in jaw, Pruritus, Rhinalgia, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

Free text: Blurred vision itching jittery left side of face my ear nose throat jaw hurt real bad headaches hands would cramp n freeze felt so bad slept for almost 2wkd chills/ hot flashes hard to breath at times chest felt tight fast heartt beat sore throat ir

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-06-01
Dose 2 — Moderna
2021-06-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-03
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Ringing in both ears off and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Headache ears would have ring in both ears off and on through out the days/nights since I received the 2nd shit on 6/1/2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Muscle spasms, Tinnitus — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ringing in both ears it comes and goes my left ear will sometimes hurt .back spasams get really bad at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-06-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-06	Moderna
2	2021-06-01	Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-11

Systemic reaction (other): Left ear hurts sinus hurt with tooth/ jaw pain and swollen lymph nodes jaw area tender/ sore hurts like hell my left side of my face

Release 8 — day 14, dose 1

2021-05-20

Symptoms: Blurred vision itching jittery left side of face my ear nose throat jaw hurt real bad headaches hands would cramp n freeze felt so bad slept for almost 2wkd chills/ hot flashes hard to breath at times chest felt tight fast heartt beat sore throat ir cut off by CDC

Release 8 — days 1–6 daily, dose 2

2021-06-03

Systemic reaction (other): Ringing in both ears off and on

2021-06-04

Systemic reaction (other): Headache ears would have ring in both ears off and on through out the days/nights since I received the 2nd shit on 6/1/2021

2021-06-07

Systemic reaction (other): Ringing in both ears it comes and goes my left ear will sometimes hurt .back spasams get really bad at times

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	Chest discomfort	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Facial pain	✓	✓	✓
SD	Feeling jittery	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rhinalgia	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Toothache	✓	✓	✓

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