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3AJ-26066-16755

5 vaccinations 3 coded responses 14 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
014 / MA
Registered
2022-10-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-02-04
    Dose 2 — Moderna
  3. 2021-11-23
    Dose 3 — Moderna
  4. 2022-05-23
    Dose 4 — Moderna
  5. 2022-10-25
    Dose 5 — Moderna
    Co-administered: Flu
  6. 2022-10-26
    Registered in v-safe
  7. 2022-10-26
    Survey response — days 1–6 daily, dose 5
    MedDRA: Ocular discomfort — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Pressure behind right eye
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-10-27
    Survey response — days 1–6 daily, dose 5
    MedDRA: Eye swelling, Ocular discomfort — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Swelling and pressure in right eye
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-10-28
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Swelling · None
    Adult check-in
  10. 2022-10-29
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  11. 2022-10-30
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  12. 2022-10-31
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  13. 2022-11-01
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  14. 2022-11-08
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  15. 2022-11-15
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  16. 2022-11-22
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  17. 2022-11-29
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  18. 2022-12-06
    Health check-in — day 42, dose 5
    Feeling: Poor
    Adult check-in
  19. 2023-01-25
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  20. 2023-04-25
    Survey response — 6 months, dose 5
    MedDRA: Rheumatoid arthritis — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna No
22021-02-04Moderna No
32021-11-23Moderna No
42022-05-23Moderna No
52022-10-25Moderna Flu

Free text

Release 12 — days 1–6 daily, dose 5

2022-10-26

Systemic reaction (other): Pressure behind right eye

2022-10-27

Systemic reaction (other): Swelling and pressure in right eye

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
SDRheumatoid arthritis · · ✓
SROEye swelling · · ✓
SROOcular discomfort · · ✓

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