PQT-29614-12652 · OpenVSafe

Timeline

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Survey response — day 0, dose 1
MedDRA: Periorbital swelling, Throat irritation — Feeling: Fair · Site: Swelling · Chills, Headache, Fatigue or tiredness

Free text: Mild shellfish like reaction puffy eye and scratchythroat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Gingival swelling, Swelling face, Throat irritation — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Swollen cheeks and gums, scratchy throat mild -similar to shellfish allergic reaction

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

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2022-01-07
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): Mild shellfish like reaction puffy eye and scratchythroat

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Swollen cheeks and gums, scratchy throat mild -similar to shellfish allergic reaction

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
SRO	Gingival swelling	✓	✓	✓
SRO	Periorbital swelling	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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