WBL-11517-03043

2 vaccinations 17 coded responses 24 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 837 / ID
Registered: 2021-01-17

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-01-17
Registered in v-safe
2021-01-17
Dose 1 — Moderna
2021-01-17
Survey response — day 0, dose 1
MedDRA: Eye pruritus, Hypoaesthesia, Hypoaesthesia oral, Lip swelling, Paraesthesia, Swelling face, Swollen tongue — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Numbness and tingling fingers and wrist, left eye slight numb feeling. Top of teeth and upper lip numbness, itchy eyes, slightly swollen tong and lips and cheeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Slight tingling in pinky

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Eye pruritus, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral — Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: My pinkie and wrist have in and off numbness and tingling. Occasional numbness and tingling in lips, tongue, area between lip and nose has some numbness. Ears feel full of pressure off and on since injection. Itchy eyes off and on. Some random numbness in face and gums that comes and goes. Numbness in pinkie toe on right side of body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Feeling abnormal — Feeling: Poor · Site: Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Slight brain fog, fatigue,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Chills, Feeling abnormal, Neck pain — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Feel slight brain fog, mild chills, mild neck and joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-24
Survey response — day 7, dose 1
MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Stuffy nose and congested feeling through

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-09
Survey response — day 21, dose 1
MedDRA: Chills — Feeling: Good

Free text: No worsening symptoms but still having some chills since getting vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Dose 2 — Moderna
2021-02-11
Survey response — day 0, dose 2
MedDRA: Ear discomfort, Eye pruritus, Feeling abnormal, Hypoaesthesia, Hypoaesthesia oral, Lip swelling, Rash, Throat tightness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Numbness in both pinkies. Swollen lips. Numb upper teeth and above lip below nose. Rash on chest. Slightly tight feeling throat. Itchy eyes. Ears feel full of pressure. Feel kind of foggy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Neuralgia — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Nerve pain in low back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hypoaesthesia, Hypoaesthesia eye — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Numb feeling below left eye and in cheek. Feel slightly light headed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 7, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Numbness and tingling left check, jawline and gums. Also tingling in left eye area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 14, dose 2
MedDRA: Dizziness, Hypoaesthesia, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Numbness in cheeks and face. Dizziness, nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-03-11
Survey response — day 28, dose 2
MedDRA: Hypoaesthesia, Immediate post-injection reaction, Paraesthesia — Feeling: Good

Free text: **new symptoms... I occasionally get face numbness and tingling that moves around. I had it immediately after vaccine but this is new. Mostly left sided along my chin,jaw line and lower eyelash area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral — Feeling: Fair

Free text: Still have occasional face numbness and tingling. Usually different spots in face. Yesterday it was upper cheek. Today its in my upper gum area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair

Free text: Random patches of numbness occur allover face. Seems to move around. Have not had this until after Moderna vaccine. Pretty concerning when I cant feel parts of my face. Will be contacting my doctor. Was hoping it would resolve.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-14
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous, Hypoaesthesia, Hypoaesthesia eye — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Occasional flares of new face and eye numbness that moves around. Had a miscarriage.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-22
Call 1 — Left Voicemail
2022-02-11
Survey response — 12 months, dose 2
MedDRA: Hypoaesthesia, Office visit, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Nerve tingling and numbness in face! Mostly left sided but moves around. · Healthcare visit (other): Saw my doctor and a neurologist.

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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-17	Moderna
2	2021-02-11	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-08-14	Unsuccessful
2022-02-11	Unsuccessful

Free text

Release 2 — day 0, dose 1

2021-01-17

Systemic reaction (other): Numbness and tingling fingers and wrist, left eye slight numb feeling. Top of teeth and upper lip numbness, itchy eyes, slightly swollen tong and lips and cheeks.

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Slight tingling in pinky

2021-01-19

Systemic reaction (other): My pinkie and wrist have in and off numbness and tingling. Occasional numbness and tingling in lips, tongue, area between lip and nose has some numbness. Ears feel full of pressure off and on since injection. Itchy eyes off and on. Some random numbness in face and gums that comes and goes. Numbness in pinkie toe on right side of body.

2021-01-21

Systemic reaction (other): Slight brain fog, fatigue,

2021-01-22

Systemic reaction (other): Feel slight brain fog, mild chills, mild neck and joint pain

Release 2 — day 7, dose 1

2021-01-24

Systemic reaction (other): Stuffy nose and congested feeling through

Release 3 — day 21, dose 1

2021-02-09

Symptoms: No worsening symptoms but still having some chills since getting vaccine.

Release 4 — day 0, dose 2

2021-02-11

Systemic reaction (other): Numbness in both pinkies. Swollen lips. Numb upper teeth and above lip below nose. Rash on chest. Slightly tight feeling throat. Itchy eyes. Ears feel full of pressure. Feel kind of foggy

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Nerve pain in low back

2021-02-17

Systemic reaction (other): Numb feeling below left eye and in cheek. Feel slightly light headed.

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Numbness and tingling left check, jawline and gums. Also tingling in left eye area.

Release 4 — day 14, dose 2

2021-02-25

Symptoms: Numbness in cheeks and face. Dizziness, nausea.

Release 5 — day 28, dose 2

2021-03-11

Symptoms: **new symptoms... I occasionally get face numbness and tingling that moves around. I had it immediately after vaccine but this is new. Mostly left sided along my chin,jaw line and lower eyelash area.

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Still have occasional face numbness and tingling. Usually different spots in face. Yesterday it was upper cheek. Today its in my upper gum area.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Random patches of numbness occur allover face. Seems to move around. Have not had this until after Moderna vaccine. Pretty concerning when I cant feel parts of my face. Will be contacting my doctor. Was hoping it would resolve.

Release 9 — 6 months, dose 2

2021-08-14

Symptoms: Occasional flares of new face and eye numbness that moves around. Had a miscarriage.

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: Nerve tingling and numbness in face! Mostly left sided but moves around.

Healthcare visit (other): Saw my doctor and a neurologist.

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	Abortion spontaneous	✓	·	✓
SD	Chills	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Hypoaesthesia eye	✓	·	✓
SD	Hypoaesthesia oral	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Paraesthesia oral	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia eye	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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