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
-
2021-01-07
Dose 1 — Moderna
-
2021-02-04
Dose 2 — Moderna
-
2021-11-23
Dose 3 — Moderna
-
2022-05-23
Dose 4 — Moderna
-
2022-10-25
Dose 5 — ModernaCo-administered: Flu
-
2022-10-26
Registered in v-safe
-
2022-10-26
Survey response — days 1–6 daily, dose 5MedDRA: 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 activitiesFree text: Pressure behind right eyeMedDRA releases: 2024-11 · check-in free text available
-
2022-10-27
Survey response — days 1–6 daily, dose 5MedDRA: Eye swelling, Ocular discomfort — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Swelling and pressure in right eyeMedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2022-12-06
- 2023-01-25
-
2023-04-25
Survey response — 6 months, dose 5MedDRA: Rheumatoid arthritis — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | No |
| 2 | 2021-02-04 | Moderna | No |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-05-23 | Moderna | No |
| 5 | 2022-10-25 | Moderna | Flu |
Free text
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Pressure behind right eye
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Rheumatoid arthritis | · | · | ✓ |
| SRO | Eye swelling | · | · | ✓ |
| SRO | Ocular discomfort | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release