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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

  1. 2021-01-17
    Dose 1 — Moderna
  2. 2021-02-14
    Registered in v-safe
  3. 2021-02-14
    Dose 2 — Moderna
  4. 2021-02-14
    Survey response — day 0, dose 2
    MedDRA: Eye pain, Headache, Visual impairment — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Abdominal pain
    Free text: Visual Spacial issues for 3-4 hours stating an hour after the shot with left ocular pain and head pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Musculoskeletal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Lower back pain, pain between shoulder blades
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Right Orbital eye pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 visit
    Adult check-in
  9. 2021-02-19
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Elevated heart rate 100 ( norm is 60-65)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-21
    Health check-in — day 7, dose 2
    Feeling: 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 activities
    Adult check-in
  12. 2021-02-28
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Gastric disorder, Headache, Swelling — Feeling: Good
    Free 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
  13. 2021-03-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-08-13
  19. 2021-08-17
    Survey response — 6 months, dose 2
    MedDRA: Chest discomfort, Headache, Lymphadenopathy, Muscle spasms, Muscle tightness, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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 provider
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-08-17
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-17Moderna
22021-02-14Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-14

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

2021-02-15

Systemic reaction (other): Lower back pain, pain between shoulder blades

2021-02-18

Systemic reaction (other): Right Orbital eye pain

2021-02-20

Systemic reaction (other): Elevated heart rate 100 ( norm is 60-65)

Release 4 — day 14, dose 2

2021-02-28

Symptoms: Continued fatigue, stomach issues, migratory/intermittent swelling, and headache. Improved from last check in.

Release 9 — 6 months, dose 2

2021-08-17

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
SDChest discomfort ✓ · ✓
SDFatigue ✓ ✓ ✓
SDGastric disorder ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDLymphadenopathy ✓ · ✓
SDMuscle spasms ✓ · ✓
SDMuscle tightness ✓ · ✓
SDSwelling ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROMusculoskeletal pain ✓ ✓ ✓
SROVisual impairment ✓ ✓ ✓

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