Y3N-74455-72324 · OpenVSafe

Timeline

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

2021-01-25
Dose 1 — Moderna
2021-02-23
Dose 2 — Moderna
2021-10-29
Dose 3 — Moderna
2022-05-04
Registered in v-safe
2022-05-04
Dose 4 — Moderna
2022-05-04
Survey response — day 0, dose 4
MedDRA: Lacrimation increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Watery eyes

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Shooting pain in elbow opposite arm from injection

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — days 1–6 daily, dose 4
MedDRA: Eye swelling, Lacrimation increased — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea, Abdominal pain · 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: Swollen left eye, some one that was watery after the vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — days 1–6 daily, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-07
Survey response — days 1–6 daily, dose 4
MedDRA: Eye swelling — Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen left eye

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Survey response — days 1–6 daily, dose 4
MedDRA: Erythema of eyelid, Swelling of eyelid — Feeling: Fair · Fatigue or tiredness

Free text: Swollen red left eyelid

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Survey response — days 1–6 daily, dose 4
MedDRA: Eye swelling, Lacrimation increased, Skin irritation, Swelling of eyelid — Feeling: Fair · Fatigue or tiredness

Free text: Swollen eye is better. Still watering. No sign of infection or itching. Skin around eye is still irritated. Swelling of eyelid almost gone.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-10
Survey response — days 1–6 daily, dose 4
MedDRA: Erythema of eyelid, Swelling of eyelid — Feeling: Good

Free text: Left eyelid is still red/pink and. No longer swollen.

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Survey response — day 7, dose 4
MedDRA: Erythema, Periorbital swelling, Swelling of eyelid — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Left eyelid and under eye no longer swollen. Skill is still pink

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna	No
2	2021-02-23	Moderna	No
3	2021-10-29	Moderna	No
4	2022-05-04	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-06	Successful 2022-05-09	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 11 — day 0, dose 4

2022-05-04

Systemic reaction (other): Watery eyes

Release 11 — days 1–6 daily, dose 4

2022-05-05

Systemic reaction (other): Shooting pain in elbow opposite arm from injection

2022-05-06

Systemic reaction (other): Swollen left eye, some one that was watery after the vaccine

2022-05-07

Systemic reaction (other): Swollen left eye

2022-05-08

Systemic reaction (other): Swollen red left eyelid

2022-05-09

Systemic reaction (other): Swollen eye is better. Still watering. No sign of infection or itching. Skin around eye is still irritated. Swelling of eyelid almost gone.

2022-05-10

Systemic reaction (other): Left eyelid is still red/pink and. No longer swollen.

Release 11 — day 7, dose 4

2022-05-11

Systemic reaction (other): Left eyelid and under eye no longer swollen. Skill is still pink

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	Arthralgia	·	·	✓
SRO	Erythema	·	·	✓
SRO	Erythema of eyelid	·	·	✓
SRO	Eye swelling	·	·	✓
SRO	Lacrimation increased	·	·	✓
SRO	Pain	·	·	✓
SRO	Periorbital swelling	·	·	✓
SRO	Skin irritation	·	·	✓
SRO	Swelling of eyelid	·	·	✓

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