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24W-10089-35333

2 vaccinations 3 coded responses 3 check-ins 3 free-text entries 2 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
913 / CA
Registered
2021-04-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Dose 1 — Moderna
  2. 2021-04-13
    Dose 2 — Moderna
  3. 2021-04-17
    Registered in v-safe
  4. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Facial pain, Headache — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Ive had pain on the left side of my face the last few days. Near my left eye. It hurts when I wink or laugh. It is getting better. But yesterday if I blinked or laughed it would send a bug pulse of pain across my head.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Facial pain, Headache, Unevaluable event — Feeling: Fair · Site: Pain, Itching · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): Still have face pain near left eye when blinking and sometimes feels like mild headache in that area · Healthcare visit (other): Attempted tele health but doctor failed. May try urgent care if issues persist tomorrow.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-19
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-04-20
    Survey response — day 7, dose 2
    MedDRA: Eye pain, Facial pain, Sinus disorder — Feeling: Fair · Site: Pain, Itching · Headache · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Still some face pain near temple and eye. Have doctor appointment tomorrow. · Healthcare visit (other): Seeing ENT tomorrow as it seems the vaccines may have triggered a sinus related issue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-20
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2022-05-04
  10. 2022-05-04

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-13Moderna

Call center

2 call center cases

2 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Ive had pain on the left side of my face the last few days. Near my left eye. It hurts when I wink or laugh. It is getting better. But yesterday if I blinked or laughed it would send a bug pulse of pain across my head.

2021-04-19

Systemic reaction (other): Still have face pain near left eye when blinking and sometimes feels like mild headache in that area
Healthcare visit (other): Attempted tele health but doctor failed. May try urgent care if issues persist tomorrow.

Release 7 — day 7, dose 2

2021-04-20

Systemic reaction (other): Still some face pain near temple and eye. Have doctor appointment tomorrow.
Healthcare visit (other): Seeing ENT tomorrow as it seems the vaccines may have triggered a sinus related issue.

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
HCVOSinus disorder ✓ ✓ ✓
HCVOUnevaluable event ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROFacial pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓

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