OpenVSafe by OpenVAERS
Search V-safe

ZCH-19054-39083

5 vaccinations 5 coded responses 25 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
775 / TX
Registered
2021-01-15
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-13
    Dose 1 — Moderna
  2. 2021-01-15
    Registered in v-safe
  3. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Gingival erythema, Gingival swelling, Loss of personal independence in daily activities, Pain, Pain in jaw, Rhinalgia, Toothache — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My gums swelled and turn red, my front upper tooth is a crown with a post and I am experiencing excruciating throbbing pain that now spread to the teeth on my left side my my left nostril and my lower jaw. I cant chew I cant brush behind that front tooth it is so painful. I didnt have any issues with my teeth at all before the vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-15
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Gingival erythema, Gingival pruritus, Gingival swelling, Lip swelling, Pain, Self-medication, Swelling face — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My doctor prescribed antibiotics (AZITHROMYCIN 500mg), for my red swollen itchy gums, all the side effects r on left side of face. Im taking aleve for pain. And antihistamine for swelling in my upper lip, nostril, cheek, and jaw. I had none of these issues before vaccination...they all appear Ed one day later
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-16
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  7. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lip swelling, Rash, Rhinalgia, Swelling face, Tenderness — Feeling: Fair · Rash, not including the immediate area around the injection site
    Free text: I feel better today although I woke this morning with the left side of my face swollen quite a bit...my upper lip very swollen. Tenderness and pain at base of the left nostril. My injection was on left arm at very top. I forgot to add that on Thursday morning I did have a rash on my chest, that was morning after vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-10
    Dose 2 — Moderna
  13. 2021-04-14
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-07-14
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-10-13
    Dose 3 — Moderna
  16. 2022-01-13
    Survey response — 12 months, dose 1
    MedDRA: SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Be unable to do your normal daily activities
    Free text: Severe upper respiratory infection since Christmas. Negative for COVID and on antibiotics Doing better
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-05-16
    Dose 4 — Pfizer-BioNTech
  18. 2022-09-26
    Dose 5 — Pfizer-BioNTech
  19. 2022-09-26
    Health check-in — day 0, dose 5
    Feeling: Good · None
    Adult check-in
  20. 2022-09-27
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain · None
    Adult check-in
  21. 2022-09-28
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  22. 2022-09-29
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  23. 2022-09-30
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  24. 2022-10-01
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  25. 2022-10-02
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  26. 2022-10-03
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  27. 2022-10-10
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  28. 2022-10-17
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  29. 2022-10-24
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  30. 2022-10-31
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  31. 2022-11-07
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  32. 2022-12-26
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  33. 2023-03-27
    Survey response — 6 months, dose 5
    MedDRA: Sinusitis — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-10Moderna No
32021-10-13Moderna No
42022-05-16Pfizer-BioNTech No
52022-09-26Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-01-15 priority 2/3
2021-01-16 priority 2/3

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): My gums swelled and turn red, my front upper tooth is a crown with a post and I am experiencing excruciating throbbing pain that now spread to the teeth on my left side my my left nostril and my lower jaw. I cant chew I cant brush behind that front tooth it is so painful. I didnt have any issues with my teeth at all before the vaccination.

2021-01-16

Systemic reaction (other): My doctor prescribed antibiotics (AZITHROMYCIN 500mg), for my red swollen itchy gums, all the side effects r on left side of face. Im taking aleve for pain. And antihistamine for swelling in my upper lip, nostril, cheek, and jaw. I had none of these issues before vaccination...they all appear Ed one day later

2021-01-17

Systemic reaction (other): I feel better today although I woke this morning with the left side of my face swollen quite a bit...my upper lip very swollen. Tenderness and pain at base of the left nostril. My injection was on left arm at very top. I forgot to add that on Thursday morning I did have a rash on my chest, that was morning after vaccination.

Release 10 — 12 months, dose 1

2022-01-13

Symptoms: Severe upper respiratory infection since Christmas. Negative for COVID and on antibiotics Doing better

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

FieldPreferred term2021-092023-042024-11
SDSARS-CoV-2 test negative · · ✓
SDSinusitis · · ✓
SDUpper respiratory tract infection · · ✓
SROGingival erythema ✓ ✓ ✓
SROGingival pruritus ✓ ✓ ✓
SROGingival swelling ✓ ✓ ✓
SROLip swelling ✓ ✓ ✓
SROLoss of personal independence in daily activities ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORhinalgia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSwelling face ✓ ✓ ✓
SROTenderness ✓ ✓ ✓
SROToothache ✓ ✓ ✓

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