ZMY-15673-03336 · OpenVSafe

Timeline

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

2021-03-27
Dose 1 — Moderna
2021-03-29
Registered in v-safe
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Aphthous ulcer, Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Canker sores, ear ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Aphthous ulcer, Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ear Ringing and canker sores

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Aphthous ulcer, Tinnitus — Feeling: Fair · Site: Pain · Headache

Free text: Ear ringing, canker sores

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Headache

Free text: Ear ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Headache

Free text: Ear ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 7, dose 1
MedDRA: Tinnitus — Feeling: Good · Headache · Be unable to do your normal daily activities

Free text: Ear ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-24
Dose 2 — Moderna
2021-05-11
Survey response — day 14, dose 2
MedDRA: Chest pain, Heart rate increased, Hypertension — Feeling: Poor · Be unable to work, 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: A few days after my second shot my heart rate went up and I've had blood pressure issues and chest pain ever since, my once normal blood pressure is now staged to hypertension and I'm dealing with issues trying to combat it with medication. It's main

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Survey response — 3 months, dose 2
MedDRA: Oral pain, Pain, Paraesthesia, Skin burning sensation — Feeling: Fair · 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: Burning and pins and needles on left side of face, burning around eyes shooting pains down towards mouth. I've had a CT and an MRI and no explanation of what is causing it

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 3 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)
2021-07-29
Call 1 — Left Voicemail
2021-12-11
Call 2 — Left Voicemail
2022-04-26
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-24	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-11	Unsuccessful
2021-07-26	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-29

Systemic reaction (other): Canker sores, ear ringing

2021-03-30

Systemic reaction (other): Ear Ringing and canker sores

2021-03-31

Systemic reaction (other): Ear ringing, canker sores

2021-04-01

Systemic reaction (other): Ear ringing

2021-04-02

Systemic reaction (other): Ear ringing

Release 6 — day 7, dose 1

2021-04-03

Systemic reaction (other): Ear ringing

Release 8 — day 14, dose 2

2021-05-11

Symptoms: A few days after my second shot my heart rate went up and I've had blood pressure issues and chest pain ever since, my once normal blood pressure is now staged to hypertension and I'm dealing with issues trying to combat it with medication. It's main cut off by CDC

Release 9 — 3 months, dose 2

2021-07-26

Symptoms: Burning and pins and needles on left side of face, burning around eyes shooting pains down towards mouth. I've had a CT and an MRI and no explanation of what is causing it

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	Chest pain	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Oral pain	✓	·	✓
SD	Pain	✓	·	✓
SD	Paraesthesia	✓	·	✓
SD	Skin burning sensation	✓	·	✓
SRO	Aphthous ulcer	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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