4AP-19887-13672 · OpenVSafe

Timeline

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

2021-01-22
Dose 1 — Moderna
2021-01-28
Registered in v-safe
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphagia, Emergency care, Fatigue, Malaise, Paraesthesia, Vision blurred — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: I received the shot on 1/22. At that time I temporarily felt like it was hard to swallow, I had a tingling feeling in my arms and legs, my heart would race. I went to the hospital where they monitored by symptoms. The feeling of tingling, would happen in waves, and also happened in my face later. On 1/23 I did not feel good, and was tired. Currently I am continuing to feel light headed, it is hard to focus, and at time my vision seems fuzzy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): I received the shot on 1/22. At that time I temporarily felt like it was hard to swallow, I had a tingling feeling in my arms and legs, my heart would race. I went to the hospital where they monitored by symptoms. The feeling of tingling, would happen in waves, and also happened in my face later. On 1/23 I did not feel good, and was tired. Currently I am continuing to feel light headed, it is hard to focus, and at time my vision seems fuzzy.

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
SRO	Dysphagia	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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