Z28-31511-85715 · OpenVSafe

Timeline

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

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Moderna
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Anaphylaxis treatment, Emergency care, Immediate post-injection reaction, Injection site pain, Nasal congestion, Pharyngeal swelling, Self-medication, Swelling face — Feeling: Fair · Site: Swelling · Fever · Headache

Free text: Within 15mins of having the moderna shot yesterday morning, my nasal passage and face became swollen and my throat. The clinic gave me Benadryl but syptoms came back. To my knowledge I have no food allergies, I have eaten eggs, nuts wheat all my life without an allergic reaction . I have developed seasonal allergies since living in Atlanta and thats it. So to have an allergic reaction to the moderna 1st shot was a surprise. I had to have an epi pen administered and sent to ER for 4 hours for observation. They have me on steroids and benadryl for next 4 days. Swelling has abated today on day two. Just have pain in arm around the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Within 15mins of having the moderna shot yesterday morning, my nasal passage and face became swollen and my throat. The clinic gave me Benadryl but syptoms came back. To my knowledge I have no food allergies, I have eaten eggs, nuts wheat all my life without an allergic reaction . I have developed seasonal allergies since living in Atlanta and thats it. So to have an allergic reaction to the moderna 1st shot was a surprise. I had to have an epi pen administered and sent to ER for 4 hours for observation. They have me on steroids and benadryl for next 4 days. Swelling has abated today on day two. Just have pain in arm around the injection site.

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	Anaphylaxis treatment	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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