5LN-18903-91673 · OpenVSafe

Timeline

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

2020-12-24
Registered in v-safe
2020-12-24
Dose 1 — Moderna
2020-12-24
Survey response — day 0, dose 1
MedDRA: Anxiety, Dyspnoea, Heart rate increased, Nasal congestion, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Heart was beating fast at some point, nose a little bit stuffy, some shortness of breath but was probably anxiety bc i started to feel better after i spoke tp a (b)(6) (my ins) nurse. They told me to take 2 tylenol but i took 1 only

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — day 21, dose 1
MedDRA: Headache, Hypoaesthesia — Feeling: Fair

Free text: I feel a stranger numbness on the right side of my face for the past week or so... I have also been experiencing headaches mostly in the back of my head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — day 28, dose 1
MedDRA: Anxiety, Decreased appetite, Fatigue, Headache, Hypoaesthesia, Pyrexia, Rhinorrhoea, Vertigo — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I got high fever 104.0, headache, runny nose, fatigue, lost appetite and it lasted 38 hrs. Days later I started having numbnes on the right side of my face, which lasted hrs or even days, headaches ,and vertigo ... I thought it was anxiety. Not sure

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Moderna

Free text

Release 1 — day 0, dose 1

2020-12-24

Systemic reaction (other): Heart was beating fast at some point, nose a little bit stuffy, some shortness of breath but was probably anxiety bc i started to feel better after i spoke tp a (b)(6) (my ins) nurse. They told me to take 2 tylenol but i took 1 only

redacted (b)(6)

Release 2 — day 21, dose 1

2021-01-19

Symptoms: I feel a stranger numbness on the right side of my face for the past week or so... I have also been experiencing headaches mostly in the back of my head.

Release 2 — day 28, dose 1

2021-01-21

Symptoms: I got high fever 104.0, headache, runny nose, fatigue, lost appetite and it lasted 38 hrs. Days later I started having numbnes on the right side of my face, which lasted hrs or even days, headaches ,and vertigo ... I thought it was anxiety. Not sure cut off by CDC

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	Anxiety	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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