23K-75839-07495
2 vaccinations
6 coded responses
14 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 044 / ME
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-17
Dose 1 — Moderna
-
2021-02-14
Registered in v-safe
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2021-02-14
Dose 2 — Moderna
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2021-02-14
Survey response — day 0, dose 2MedDRA: Eye pain, Headache, Visual impairment — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Abdominal painFree text: Visual Spacial issues for 3-4 hours stating an hour after the shot with left ocular pain and head painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Musculoskeletal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Lower back pain, pain between shoulder bladesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Abdominal painFree text: Right Orbital eye painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitAdult check-in
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2021-02-19
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Elevated heart rate 100 ( norm is 60-65)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Health check-in — day 7, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Survey response — day 14, dose 2MedDRA: Fatigue, Gastric disorder, Headache, Swelling — Feeling: GoodFree text: Continued fatigue, stomach issues, migratory/intermittent swelling, and headache. Improved from last check in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-14
- 2021-03-23
- 2021-03-28
- 2021-05-16
- 2021-08-13
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2021-08-17
Survey response — 6 months, dose 2MedDRA: Chest discomfort, Headache, Lymphadenopathy, Muscle spasms, Muscle tightness, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Occasional chest tightness. Swelling of lymph nodes in chest and arm pits. Tightness and cramping of the muscles in my neck and upper back. Headache that migrates from the base of my skull around and through the left side of my head. · Healthcare visit (other): Regular care providerMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-17
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-14 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Visual Spacial issues for 3-4 hours stating an hour after the shot with left ocular pain and head pain
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lower back pain, pain between shoulder blades
Systemic reaction (other): Right Orbital eye pain
Systemic reaction (other): Elevated heart rate 100 ( norm is 60-65)
Release 4 — day 14, dose 2
Symptoms: Continued fatigue, stomach issues, migratory/intermittent swelling, and headache. Improved from last check in.
Release 9 — 6 months, dose 2
Symptoms: Occasional chest tightness. Swelling of lymph nodes in chest and arm pits. Tightness and cramping of the muscles in my neck and upper back. Headache that migrates from the base of my skull around and through the left side of my head.
Healthcare visit (other): Regular care provider
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Chest discomfort | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastric disorder | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | · | ✓ |
| SD | Muscle spasms | ✓ | · | ✓ |
| SD | Muscle tightness | ✓ | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release