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
-
2021-03-18
Dose 1 — Moderna
-
2021-04-13
Dose 2 — Moderna
-
2021-04-17
Registered in v-safe
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Facial pain, Headache — Feeling: Fair · Site: Pain · Muscle or body achesFree 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
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: 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 consultationFree 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
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2021-04-19
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-20
Survey response — day 7, dose 2MedDRA: Eye pain, Facial pain, Sinus disorder — Feeling: Fair · Site: Pain, Itching · Headache · Get care from a doctor or other healthcare professionalFree 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
-
2021-04-20
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-04
- 2022-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Call center
2 call center cases
2 unsuccessful
2 waits over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 2
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.
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Sinus disorder | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Facial pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release