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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

  1. 2021-02-12
    Dose 1 — Moderna
  2. 2021-03-13
    Dose 2 — Moderna
  3. 2021-03-16
    Registered in v-safe
  4. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Periorbital swelling, Skin discolouration, Swelling of eyelid — Feeling: Fair · Site: Redness
    Free text: Swelling around eyes, especially left eye. Red spotson lower and right side of space. Started as small white swollen areas yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Eye swelling, Injection site erythema, Injection site rash, Pyrexia, Rash macular, Self-medication, Swelling face — Feeling: Fair · Site: Itching
    Free 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
  6. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye swelling — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site
    Free text: Swelled eyes. Visiting doctor tomorrow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 visit
    Free 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
  8. 2021-03-19
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-03-20
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  10. 2021-03-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-12-28
  18. 2022-03-15
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-13Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Swelling around eyes, especially left eye. Red spotson lower and right side of space. Started as small white swollen areas yesterday

2021-03-17

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.

2021-03-18

Systemic reaction (other): Swelled eyes. Visiting doctor tomorrow

2021-03-19

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

FieldPreferred term2021-092023-042024-11
HCVOEye swelling ✓ ✓ ✓
HCVORash ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROEye swelling ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROPeriorbital swelling · · ✓
SROPyrexia ✓ ✓ ✓
SRORash macular ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSkin discolouration · · ✓
SROSwelling face ✓ ✓ ✓
SROSwelling of eyelid ✓ ✓ ○

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