2FF-33905-06646

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 926 / CA
Registered: 2021-04-02

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-01
Dose 1 — Janssen/Johnson & Johnson
2021-04-02
Registered in v-safe
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Eye disorder, Immediate post-injection reaction, Ocular discomfort, Paraesthesia, Skin tightness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left eye drooped and eyebrow couldnt go up 30 minutes after shot. My forehead skin feels tight/tingling when I try to make expressions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion, Nasal oedema, Pain, Swelling face — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: My brow/forehead and bridge of nose are swollen and look slightly bruised. It hurts my forehead to raise eyebrows

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling face — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Swelling on forehead

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling face — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Forehead not as swollen, slightly Swollen cheeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling of eyelid — Feeling: Poor · Muscle or body aches · Be unable to do your normal daily activities

Free text: Eyelids swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Swelling face, Swelling of eyelid — Feeling: Fair · Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Forehead and eyelid swelling. Itchy face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

no matching call case
2021-04-11
Survey response — day 7, dose 1
MedDRA: Swelling face — Feeling: Fair · Fatigue or tiredness

Free text: Forehead swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 14, dose 1
MedDRA: Brow ptosis, Swelling face, Swelling of eyelid — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My forehead swelling moved to eye lids. My brow has dropped and my eyelids are not visible

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-04-24
Health check-in — day 21, single dose
Feeling: Fair

Adult check-in
2021-05-04
Health check-in — day 28, single dose
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-10-29
Dose 2 — Moderna
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-11-05
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Janssen/Johnson & Johnson
2	2021-10-29	Moderna	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

1 check-in flagged for a call with no call center case on record

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Left eye drooped and eyebrow couldnt go up 30 minutes after shot. My forehead skin feels tight/tingling when I try to make expressions

2021-04-03

Systemic reaction (other): My brow/forehead and bridge of nose are swollen and look slightly bruised. It hurts my forehead to raise eyebrows

2021-04-04

Systemic reaction (other): Swelling on forehead

2021-04-05

Systemic reaction (other): Forehead not as swollen, slightly Swollen cheeks

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Eyelids swollen

2021-04-07

Systemic reaction (other): Forehead and eyelid swelling. Itchy face

Release 7 — day 7, dose 1

2021-04-11

Systemic reaction (other): Forehead swelling

Release 7 — day 14, dose 1

2021-04-15

Symptoms: My forehead swelling moved to eye lids. My brow has dropped and my eyelids are not visible

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	Brow ptosis	✓	✓	✓
SD	Swelling face	✓	✓	✓
SD	Swelling of eyelid	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Eye disorder	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Nasal oedema	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin tightness	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Swelling of eyelid	✓	✓	✓

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