3C6-22280-66696
3 vaccinations
6 coded responses
23 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Rash macular — Feeling: Good · Site: Pain, Redness, SwellingFree text: Red splotches on face, think its capped skin from standing in cold wind waiting 2 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Erythema of eyelid, Swelling of eyelid, Tenderness — Feeling: Fair · Site: Pain, Redness, SwellingFree text: Swelling, redness & tenderness in right eyelid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Erythema of eyelid, Eye pain, Eye swelling — Feeling: Good · Site: Pain, Redness, Swelling · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Ongoing redness, tenderness in right eyelid, increased swelling over & under eye.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-18
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Erythema of eyelid, Eyelid pain, Office visit, Swelling of eyelid — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): The right eyelid is almost swollen shut; is red & swollen all around the eye; hurts to blink · Healthcare visit (other): Office visit with my doctors nurse practitioner.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Eye swelling, Hordeolum — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Swelling in right eye turned out to be a stye that is infected.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-22
Survey response — day 7, dose 1MedDRA: Eye pain, Swelling of eyelid — Feeling: GoodFree text: Swelling & pain in right eye is getting better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-02-05
-
2021-02-19
Dose 2 — Moderna
-
2021-02-19
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fever · NoneAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-24
-
2021-03-24
Call successfulCompleted over the phone
- 2021-08-21
-
2021-10-26
Dose 3 — Moderna
- 2021-10-26
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Red splotches on face, think its capped skin from standing in cold wind waiting 2 hours.
Systemic reaction (other): Swelling, redness & tenderness in right eyelid.
Systemic reaction (other): Ongoing redness, tenderness in right eyelid, increased swelling over & under eye.
Systemic reaction (other): The right eyelid is almost swollen shut; is red & swollen all around the eye; hurts to blink
Healthcare visit (other): Office visit with my doctors nurse practitioner.
Systemic reaction (other): Swelling in right eye turned out to be a stye that is infected.
Release 2 — day 7, dose 1
Systemic reaction (other): Swelling & pain in right eye is getting better.
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 | ✓ | ✓ | ✓ |
| SRO | Erythema of eyelid | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Eyelid pain | ✓ | ✓ | ✓ |
| SRO | Hordeolum | ✓ | ✓ | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
| SRO | Swelling of eyelid | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release