Z7C-28642-54543 · OpenVSafe

Timeline

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

2021-01-14
Dose 1 — Moderna
2021-01-16
Registered in v-safe
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Facial pain, Neuralgia, Pain — Feeling: Fair

Free text: Last night I had severe pain in left side of face. Shooting pain from upper lip (where eye tooth is)area up to eye. It happened several times from 10:00pm-11:30pm. Felt like nerve pain. Pain level 10 out of 10 when it hit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Survey response — day 7, dose 1
MedDRA: Office visit, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I had another spell last night of severe pain. (Sounds like trigeminal neuralgia) First episode occurred the day after my vaccination. · Healthcare visit (other): I have appt for Monday with pcp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Survey response — day 14, dose 1
MedDRA: Neuralgia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I had another episode Tues night. (1/26/21) where I had severe facial nerve pain. Started around 10:00pm and hurt off and on till morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-02
Call 1 — Left Voicemail
2021-06-09
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-23	Unsuccessful
2021-01-28	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Last night I had severe pain in left side of face. Shooting pain from upper lip (where eye tooth is)area up to eye. It happened several times from 10:00pm-11:30pm. Felt like nerve pain. Pain level 10 out of 10 when it hit.

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): I had another spell last night of severe pain. (Sounds like trigeminal neuralgia) First episode occurred the day after my vaccination.

Healthcare visit (other): I have appt for Monday with pcp

Release 3 — day 14, dose 1

2021-01-28

Symptoms: I had another episode Tues night. (1/26/21) where I had severe facial nerve pain. Started around 10:00pm and hurt off and on till morning.

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	Neuralgia	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain	✓	✓	✓

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