Z63-17018-07982

Timeline

1. 2021-02-12
   Dose 1 — Moderna
2. 2021-02-16
   Registered in v-safe
3. 2021-02-16
   Survey response — days 1–6 daily, dose 1

   MedDRA: Hypoaesthesia oral, Lymphadenopathy, Tenderness — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

   Free text: my left side of face is tender, my lips are numb, my glands on left side of tace swollen.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-02-17
   Survey response — days 1–6 daily, dose 1

   MedDRA: Bell's palsy, Facial pain, Office visit, Trigeminal neuralgia — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

   Free text: Systemic reaction (other): severe facial pain. Went to both Dentist and my Medical Dr. No dental/teeth issues. Med. Doctor said I had Bell's Palsy or TRIGEMINAL NEURALGIA. Recommended I do NOT Ttake 2nd Moderna Vaccine & to report these findings to the CDC. · Healthcare visit (other): in person visit to both my Dentist and my GP medical Doctor.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-02-17
   Report sent to call center — days 1–6 daily, dose 1

   Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

   1 call case(s)
6. 2021-02-18
   Survey response — days 1–6 daily, dose 1

   MedDRA: Bell's palsy, Facial pain, Office visit, Trigeminal neuralgia — Feeling: Poor · Fever · Headache, Fatigue or tiredness · 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: Systemic reaction (other): Severe facial pain, Dr. suspects Bell's Palsy or Trigeminal Neuralgia. Gave me RX for Pain. Using Ice packs. · Healthcare visit (other): Physician's Office

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-02-18
   Report sent to call center — days 1–6 daily, dose 1

   Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

   1 call case(s)
8. 2021-02-19
   Survey response — day 7, dose 1

   MedDRA: Bell's palsy, Facial pain, Fatigue, Mastication disorder, Office visit, Trigeminal neuralgia, Trismus — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · 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: Systemic reaction (other): Per my medical Dr. have Bell's Palsy/Trigeminal Neuralgia as result of vaccine on 2/12. Extreme facial pain, unable to open mouth, chew food, fatigued. · Healthcare visit (other): 2nd trip in past two days to Dr. Office. Prescribed Prednisone & Pain meds.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-02-19
   Report sent to call center — day 7, dose 1

   Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

   1 call case(s)
10. 2021-03-05
    Health check-in — day 21, dose 1

    Feeling: Good

    Adult check-in
11. 2021-03-12
    Survey response — day 28, dose 1

    MedDRA: Medical observation, Sinusitis, Trigeminal neuralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

    Free text: Still dealing with Trigeminal Neuralgia as well as Acute Maxillary Sinusitis. Under care of Neurologist and ENT. Talking Prednisone Steroids and Antibiotics.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
12. 2021-03-12
    Report sent to call center — day 28, dose 1

    Get care from a doctor or other healthcare professional

    1 call case(s)
13. 2021-03-19
    Survey response — day 35, dose 1

    MedDRA: Rash, Self-medication, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

    Free text: For some reason, I broke out in a rash today. I am still under Neurologist's and ENT's care for Trigeminal Neuralgia and Accute Maxillary Sinititus since 2/13 day after getting 1st COVID Vaccine. Currently onPrednisone Steroids and Antiobotic RX's.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-03-19
    Report sent to call center — day 35, dose 1

    Get care from a doctor or other healthcare professional

    1 call case(s)
15. 2021-03-27
    Survey response — day 42, dose 1

    MedDRA: Acute sinusitis, Adverse event following immunisation, Dermatitis allergic, Drug hypersensitivity, Office visit, Sinusitis, Swelling, Trigeminal neuralgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: As a result of the Trigeminal Neuralgia from Covid Shot & subsequent swelling, I also developed Acute Maxillary Sinititus. My ENT prescribed Antibiotic, Clindamycin, which caused a severe rash, for 7 days. Had to go to Dr for 2 addtl RXs.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
16. 2021-03-27
    Report sent to call center — day 42, dose 1

    Get care from a doctor or other healthcare professional

    1 call case(s)
17. 2021-05-18
    Health check-in — 3 months, dose 1

    Feeling: Good

    Adult check-in
18. 2021-08-06
    Call successful

    Does not wish to fill out VAERS report
19. 2021-08-13
    Health check-in — 6 months, dose 1

    Feeling: Good

    Adult check-in