4ZD-20049-38117 · OpenVSafe

Timeline

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Moderna
2021-03-20
Survey response — day 0, dose 1
MedDRA: Cough, Hypoaesthesia oral, Paraesthesia oral, Pruritus, Throat clearing — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Progressive itching starting on face, tingling lips then whole mouth numb, started coughing & clearing throat frequently

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 0, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-17
Dose 2 — Moderna
2021-04-24
Survey response — day 7, dose 2
MedDRA: Dysgeusia — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Taste is weird

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-16
Survey response — 6 months, dose 2
MedDRA: Lichen planus, Office visit, Oral disorder, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: 2 different skin rashes, mouth lesions. Haven't confirmed diagnosis yet but suspect new onset of lichen plants or lichenoid condition and possible inverse psoriasis. · Healthcare visit (other): Primary care dr, dermatologist, dentist, endodontist, referred to oral medical dr for further evaluation

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-17	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): Progressive itching starting on face, tingling lips then whole mouth numb, started coughing & clearing throat frequently

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): Taste is weird

Release 10 — 6 months, dose 2

2021-10-16

Symptoms: 2 different skin rashes, mouth lesions. Haven't confirmed diagnosis yet but suspect new onset of lichen plants or lichenoid condition and possible inverse psoriasis.

Healthcare visit (other): Primary care dr, dermatologist, dentist, endodontist, referred to oral medical dr for further evaluation

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	Lichen planus	·	·	✓
SD	Oral disorder	·	·	✓
SD	Rash	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Throat clearing	✓	✓	✓

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