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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

  1. 2021-03-09
    Dose 1 — Moderna
  2. 2021-03-14
    Registered in v-safe
  3. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  4. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-23
    Survey response — day 14, dose 1
    MedDRA: 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 professional
    Free 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 office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-23
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-04-07
    Dose 2 — Moderna
  9. 2021-04-07
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  12. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  13. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling hot — Feeling: Good · Site: Swelling
    Free text: 2 days before sleep getting very hot, and when awake very hot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  15. 2021-04-14
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-21
    Survey response — day 14, dose 2
    MedDRA: Oedema peripheral — Feeling: Fair
    Free 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 shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-09
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia — Feeling: Fair
    Free text: Joint pain everywhere
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-10-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-01-07

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Moderna
22021-04-07Moderna

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 6 — day 14, dose 1

2021-03-23

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

2021-04-11

Systemic reaction (other): 2 days before sleep getting very hot, and when awake very hot

Release 7 — day 14, dose 2

2021-04-21

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

2021-07-09

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDEye pruritus ✓ ✓ ✓
SDEye swelling ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDOcular hyperaemia ✓ ✓ ✓
SDOedema peripheral ✓ ✓ ✓
SDParanasal sinus discomfort ✓ ✓ ✓
SDPhotopsia ✓ ✓ ✓
SDRetinal tear ✓ ✓ ✓
SDVitreous floaters ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓

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