Z87-19138-28105 · OpenVSafe

Timeline

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

2021-04-09
Dose 1 — Moderna
2021-04-10
Registered in v-safe
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Facial pain, Mastication disorder, Swelling face — Feeling: Fair · Site: Swelling

Free text: Swelling and pain on left side of the face (cheek), got pain when chews, i got the vaccine on left arm,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Mastication disorder, Swelling face — Feeling: Poor · Be unable to do your normal daily activities

Free text: Swelling on the left side of the face became larger than previous day, difficult to chew

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling face — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling on the left side of the face still there and swelling spread under the chin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 7, dose 1
MedDRA: Induration, Swelling face — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Small amount of face swelling still exists, feel a hardened spot where the face swelling was. If you massage the hardened spot it swells up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-30
Survey response — day 21, dose 1
MedDRA: Contusion, Pruritus, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: Itchy bruises on the body, still taking benedryl to control it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): Swelling and pain on left side of the face (cheek), got pain when chews, i got the vaccine on left arm,

2021-04-11

Systemic reaction (other): Swelling on the left side of the face became larger than previous day, difficult to chew

2021-04-12

Systemic reaction (other): Swelling on the left side of the face still there and swelling spread under the chin.

Release 7 — day 7, dose 1

2021-04-20

Systemic reaction (other): Small amount of face swelling still exists, feel a hardened spot where the face swelling was. If you massage the hardened spot it swells up.

Release 8 — day 21, dose 1

2021-04-30

Symptoms: Itchy bruises on the body, still taking benedryl to control it.

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	Contusion	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Induration	✓	✓	✓
SRO	Mastication disorder	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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