YA5-21693-05678 · OpenVSafe

Timeline

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

2021-01-09
Dose 1 — Moderna
2021-02-10
Registered in v-safe
2021-02-10
Survey response — day 28, dose 1
MedDRA: Headache, Hypoaesthesia, Immediate post-injection reaction, Lymphadenopathy, Palpitations, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: 1/2 hour my 1st Moderna vaccination (left arm), half my body, esp. left side/face felt numb, tight, swollen though I wasnt swollen. Breathing ok,yet headache, hot back & racing heart, 1 week later, left underarm/lymph nodes were swollen, pain, sti · Healthcare visit (other): Left message/called doctor & almost went to ER twice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-14
Survey response — day 35, dose 1
MedDRA: Chills, Facial paresis, Hypoaesthesia, Immediate post-injection reaction, Lymph node pain, Lymphadenopathy, Pain in extremity, Skin tightness, Skin warm, Swelling face — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: 1/2 hour after 1st vaccine, half my face (body) go numb & tight & felt swollen, almost felt paralyzed for 40 minutes & less numb for a few hours. Hot back, then chills. Felt pain/soreness in arm next 2 day & pain:swelling in lymph nodes 1 week later.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-19
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-10	Successful 2021-07-19	Participant prefers to complete VAERS report online

Free text

Release 4 — day 28, dose 1

2021-02-10

Symptoms: 1/2 hour my 1st Moderna vaccination (left arm), half my body, esp. left side/face felt numb, tight, swollen though I wasnt swollen. Breathing ok,yet headache, hot back & racing heart, 1 week later, left underarm/lymph nodes were swollen, pain, sti

Healthcare visit (other): Left message/called doctor & almost went to ER twice

Release 4 — day 35, dose 1

2021-02-14

Symptoms: 1/2 hour after 1st vaccine, half my face (body) go numb & tight & felt swollen, almost felt paralyzed for 40 minutes & less numb for a few hours. Hot back, then chills. Felt pain/soreness in arm next 2 day & pain:swelling in lymph nodes 1 week later. 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
HCVO	Unevaluable event	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Facial paresis	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Skin tightness	✓	✓	✓
SD	Skin warm	✓	✓	✓
SD	Swelling face	✓	✓	✓

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