ZLG-14997-17858 · OpenVSafe

Timeline

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Moderna
2021-01-04
Survey response — day 0, dose 1
MedDRA: Bell's palsy, Feeling abnormal, Feeling hot, Immediate post-injection reaction, Paraesthesia, Pre-existing disease — Feeling: Fair · Headache, Muscle or body aches

Free text: Slight warmth/weird feeling muscles/tingly/possible numbness up the left side of my neck and left side of my face(side of injection). About 15 minutes after the injection, lasting about maybe 1-2 hours. Hx of Bell's palsy in about 2010 2 months after H1N1. During the same time i also had molars pulled and a nerve ablation for neck pain. Bell's palsy could have been related to any of the above.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Nausea

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 7, dose 1
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-01-29
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Nausea

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-02
Survey response — 6 months, dose 2
MedDRA: Aphasia, Aphonia, Balance disorder, Cognitive disorder, Headache, Memory impairment, Mental impairment, Oropharyngeal pain, Sinus disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Have had memory issues and other cognitive issues like word finding, decision making, balance and headaches. Also had a sinus/sore throat and lost my voice episode about a couple months ago.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-02
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)
2021-08-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-01-29	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-12	priority 2/3
2021-08-02	Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-04

Systemic reaction (other): Slight warmth/weird feeling muscles/tingly/possible numbness up the left side of my neck and left side of my face(side of injection). About 15 minutes after the injection, lasting about maybe 1-2 hours. Hx of Bell's palsy in about 2010 2 months after H1N1. During the same time i also had molars pulled and a nerve ablation for neck pain. Bell's palsy could have been related to any of the above.

Release 9 — 6 months, dose 2

2021-08-02

Symptoms: Have had memory issues and other cognitive issues like word finding, decision making, balance and headaches. Also had a sinus/sore throat and lost my voice episode about a couple months ago.

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	Aphasia	✓	·	✓
SD	Aphonia	✓	·	✓
SD	Balance disorder	✓	·	✓
SD	Cognitive disorder	✓	·	✓
SD	Headache	✓	·	✓
SD	Memory impairment	✓	·	✓
SD	Mental impairment	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Sinus disorder	✓	·	✓
SRO	Bell's palsy	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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