33L-20611-36937
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 063 / CT
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-03-14
Registered in v-safe
- 2021-03-14
- 2021-03-15
- 2021-03-16
-
2021-03-23
Survey response — day 14, dose 1MedDRA: Eye pruritus, Eye swelling, Headache, Ocular hyperaemia, Office visit, Paranasal sinus discomfort, Photopsia, Retinal tear, Vitreous floaters — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus pressure, headaches,, left eye floaters and light flashes, saw eye dr and there was tear in vistreous gel of eye vaccine sight became red swollen and very itchy 7 days in, then stopped after 3 days · Healthcare visit (other): Eye dr officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot — Feeling: Good · Site: SwellingFree text: 2 days before sleep getting very hot, and when awake very hotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-14
-
2021-04-21
Survey response — day 14, dose 2MedDRA: Oedema peripheral — Feeling: FairFree text: On 4/17/21 woke up with very swollen under arm pit. It is still swollen today , 4/21/21, its the same side as shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
- 2021-05-13
- 2021-05-21
-
2021-07-09
Survey response — 3 months, dose 2MedDRA: Arthralgia — Feeling: FairFree text: Joint pain everywhereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-06
- 2022-01-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — day 14, dose 1
Symptoms: Sinus pressure, headaches,, left eye floaters and light flashes, saw eye dr and there was tear in vistreous gel of eye vaccine sight became red swollen and very itchy 7 days in, then stopped after 3 days
Healthcare visit (other): Eye dr office
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): 2 days before sleep getting very hot, and when awake very hot
Release 7 — day 14, dose 2
Symptoms: On 4/17/21 woke up with very swollen under arm pit. It is still swollen today , 4/21/21, its the same side as shot
Release 9 — 3 months, dose 2
Symptoms: Joint pain everywhere
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Eye swelling | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Photopsia | ✓ | ✓ | ✓ |
| SD | Retinal tear | ✓ | ✓ | ✓ |
| SD | Vitreous floaters | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release