YAP-23133-80168 · OpenVSafe

Timeline

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

2021-01-07
Dose 1 — Moderna
2021-01-15
Registered in v-safe
2021-01-15
Survey response — day 7, dose 1
MedDRA: Dizziness, Dyspnoea, Hypersensitivity, Immediate post-injection reaction, Paraesthesia oral, Swollen tongue — Feeling: Fair · Site: Pain · Nausea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Allergic reaction 5 minutes after injection. Dizzy, Trouble breathing, tingling lips, swelling tongue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-23
Survey response — day 14, dose 1
MedDRA: Anxiety, Dizziness, Heart rate increased, Hyperhidrosis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Rapid resting heart rate for the last few days. Cant get resting heart rate below 100bpm. Feel anxious, sweaty, and lightheaded all day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 21, dose 1
MedDRA: Feeling jittery, Headache, Heart rate increased — Feeling: Poor · Be unable to do your normal daily activities

Free text: Continued high heart rate even when resting. Now I wake up in the middle is the night with my heart feeling like its beating out of my chest. I feel jittery and have a constant tension-like headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — day 28, dose 1
MedDRA: Hypertension, Medical counselling — Feeling: Fair · 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: Blood pressure remains high after vaccination but was normal prior. Had to start taking blood pressure medication after seeing a cardiologist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
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)
2021-02-13
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-02-18
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-03-16
Call 1 — Left Voicemail
2021-04-08
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-07-15
Call 1 — Left Voicemail
2022-01-09
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	Unsuccessful
2021-02-06	Unsuccessful

Free text

Release 2 — day 7, dose 1

2021-01-15

Systemic reaction (other): Allergic reaction 5 minutes after injection. Dizzy, Trouble breathing, tingling lips, swelling tongue.

Release 2 — day 14, dose 1

2021-01-23

Symptoms: Rapid resting heart rate for the last few days. Cant get resting heart rate below 100bpm. Feel anxious, sweaty, and lightheaded all day.

Release 2 — day 21, dose 1

2021-01-28

Symptoms: Continued high heart rate even when resting. Now I wake up in the middle is the night with my heart feeling like its beating out of my chest. I feel jittery and have a constant tension-like headache.

Release 3 — day 28, dose 1

2021-02-06

Symptoms: Blood pressure remains high after vaccination but was normal prior. Had to start taking blood pressure medication after seeing a cardiologist.

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	Dizziness	✓	✓	✓
SD	Feeling jittery	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓

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