255-68244-21837
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 551 / MN
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-12
Dose 1 — Moderna
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2021-03-13
Dose 2 — Moderna
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2021-03-16
Registered in v-safe
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Periorbital swelling, Skin discolouration, Swelling of eyelid — Feeling: Fair · Site: RednessFree text: Swelling around eyes, especially left eye. Red spotson lower and right side of space. Started as small white swollen areas yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Eye swelling, Injection site erythema, Injection site rash, Pyrexia, Rash macular, Self-medication, Swelling face — Feeling: Fair · Site: ItchingFree text: Still eye swelling and red spots on face. I wasnt signed up at beginning but had fever and chills on day 1 and 2. Swelling on face started dsy 2 onward. Red radh at injection site day 1. Taking benadryl.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Eye swelling — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection siteFree text: Swelled eyes. Visiting doctor tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Eye swelling, Rash — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swelled eyes and rash on face. Dr having me continue to watch since slightly better. If not better in a few weeks she will prescribe antibiotics.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
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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2021-03-20
Health check-in — day 7, dose 2Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-21
- 2021-04-24
- 2021-06-14
- 2021-09-13
- 2021-12-28
- 2022-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-13 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling around eyes, especially left eye. Red spotson lower and right side of space. Started as small white swollen areas yesterday
Systemic reaction (other): Still eye swelling and red spots on face. I wasnt signed up at beginning but had fever and chills on day 1 and 2. Swelling on face started dsy 2 onward. Red radh at injection site day 1. Taking benadryl.
Systemic reaction (other): Swelled eyes. Visiting doctor tomorrow
Healthcare visit (other): Swelled eyes and rash on face. Dr having me continue to watch since slightly better. If not better in a few weeks she will prescribe antibiotics.
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 | Eye swelling | ✓ | ✓ | ✓ |
| HCVO | Rash | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Periorbital swelling | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Skin discolouration | · | · | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
| SRO | Swelling of eyelid | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release