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2WY-17652-01153

2 vaccinations 7 coded responses 12 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
481 / MI
Registered
2021-05-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-13
    Dose 1 — Moderna
  2. 2021-05-11
    Dose 2 — Moderna
  3. 2021-05-12
    Registered in v-safe
  4. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Eye pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: I have a rash about 3 inches from injection site today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site rash — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Rash appeared yesterday 3 inches below injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Contusion, Increased tendency to bruise, Photophobia, Photosensitivity reaction, Solar dermatitis — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Eyes and skin extremely sensitive to sun, bruising more easily
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Photophobia — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains
    Free text: Having a great deal of sensitivity to light that I normally have no problem with.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-05-18
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Redness · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  11. 2021-05-25
    Survey response — day 14, dose 2
    MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I occasionally have joint pain and it has been worse since the second dose of the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-08
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-06-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-05-11
    Survey response — 12 months, dose 2
    MedDRA: Arthralgia, Dizziness, Headache, Palpitations, Tachycardia, Thyroid disorder — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Increased joint pain, lightheadedness, heart palpitations/tachycardia, headaches, thyroid issues.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-05-11
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  17. 2022-05-12

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna
22021-05-11Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Eye pain

2021-05-13

Systemic reaction (other): I have a rash about 3 inches from injection site today.

2021-05-14

Systemic reaction (other): Rash appeared yesterday 3 inches below injection site.

2021-05-15

Systemic reaction (other): Eyes and skin extremely sensitive to sun, bruising more easily

2021-05-16

Systemic reaction (other): Having a great deal of sensitivity to light that I normally have no problem with.

Release 8 — day 14, dose 2

2021-05-25

Symptoms: I occasionally have joint pain and it has been worse since the second dose of the vaccine.

Release 11 — 12 months, dose 2

2022-05-11

Symptoms: Increased joint pain, lightheadedness, heart palpitations/tachycardia, headaches, thyroid issues.

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
SDArthralgia ✓ ✓ ✓
SDDizziness · · ✓
SDHeadache · · ✓
SDPalpitations · · ✓
SDTachycardia · · ✓
SDThyroid disorder · · ✓
SROContusion ○ ✓ ○
SROEye pain ✓ ✓ ✓
SROIncreased tendency to bruise ✓ · ✓
SROInjection site rash ✓ ✓ ✓
SROPhotophobia ✓ ✓ ✓
SROPhotosensitivity reaction ✓ · ✓
SRORash ✓ ✓ ✓
SROSolar dermatitis ○ ✓ ○

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

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