YC4-22670-94258 · OpenVSafe

Timeline

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

2021-01-11
Dose 1 — Moderna
2021-02-08
Dose 2 — Moderna
2021-02-11
Registered in v-safe
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Pruritus, Swelling, Urticaria — Feeling: Good · Site: Pain, Redness · Rash, not including the immediate area around the injection site

Free text: AFTER THE SECOND DOSE I HAVE DEVELOPED HIVES. SWOLLEN, RED, AND ITCHY SKIN AT BRA LINE, STOMACH DOWN TO HIPS. TODAY ON WRIST ALSO.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Eyelid ptosis, Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: I woke up this morning and my left eyelid was drippy. Like it deflated and rested on my eyelashes. That has never happened before. My right eyelid was fine. No other systems but the hives and they are not as bad on my torso stomach area as they were night before last

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Survey response — day 14, dose 2
MedDRA: Erythema, Pruritus, Self-medication, Urticaria — Feeling: Fair

Free text: I continue to break out with hives. Red, and very itchy. I have to take Benadryl to stop the itching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): AFTER THE SECOND DOSE I HAVE DEVELOPED HIVES. SWOLLEN, RED, AND ITCHY SKIN AT BRA LINE, STOMACH DOWN TO HIPS. TODAY ON WRIST ALSO.

2021-02-12

Systemic reaction (other): I woke up this morning and my left eyelid was drippy. Like it deflated and rested on my eyelashes. That has never happened before. My right eyelid was fine. No other systems but the hives and they are not as bad on my torso stomach area as they were night before last

Release 4 — day 14, dose 2

2021-02-22

Symptoms: I continue to break out with hives. Red, and very itchy. I have to take Benadryl to stop the itching.

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	Erythema	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Eyelid ptosis	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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