YXG-13365-40813 · OpenVSafe

Timeline

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

2021-04-08
Dose 1 — Moderna
2021-05-06
Dose 2 — Moderna
2021-12-16
Dose 3 — Moderna
2021-12-31
Registered in v-safe
2021-12-31
Survey response — day 14, dose 3
MedDRA: Lip swelling, Swelling of eyelid, Urticaria — Feeling: Poor · 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: Hives all over body, swollen eye lids and swollen lips.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-06
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna	No
2	2021-05-06	Moderna	No
3	2021-12-16	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-31	Unsuccessful

Free text

Release 10 — day 14, dose 3

2021-12-31

Symptoms: Hives all over body, swollen eye lids and swollen lips.

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	Lip swelling	·	·	✓
SD	Swelling of eyelid	·	·	✓
SD	Urticaria	·	·	✓

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