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3H6-18276-83112

3 vaccinations 5 coded responses 14 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
065 / CT
Registered
2021-01-11
Relationship
Self
Race
Black or African American
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-08
    Dose 1 — Moderna
  2. 2021-01-11
    Registered in v-safe
  3. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-05
    Dose 2 — Moderna
  10. 2021-02-13
    Survey response — day 7, dose 2
    MedDRA: Eye pain — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches
    Free text: Eye pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-19
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-02-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-05
    Survey response — day 28, dose 2
    MedDRA: Eye pain — Feeling: Fair
    Free text: Pain in the back of my eyes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-12
    Survey response — day 35, dose 2
    MedDRA: Asthenia, Eye pain, Headache, Hypoaesthesia, Myalgia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Severe headaches and severe pain in the back muscles. Strong pain in the back of the eyes. Numbness in the hands and a lot of weakness especially at night.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-05-07
    Survey response — 3 months, dose 2
    MedDRA: Abdominal distension, Amnesia, Asthenia, Dizziness, Hypoaesthesia, Inflammation, Vomiting — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Inflammation of the abdomen, feeling of fullness without having eaten food or having ingested a minimal portion of food, vomiting, numbness in the arms and dizziness, weakness in the body and twice my brain goes numb and sometimes my memory goes away
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-08-06
    Survey response — 6 months, dose 2
    MedDRA: Abdominal discomfort, Dyspnoea, Myalgia, Nervousness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Muscular pain, pressure in my stomach that cause me sometimes dificulty to breath and nervs.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-06
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-11-23
  20. 2021-12-30
    Dose 3 — Moderna

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna
32021-12-30Moderna No

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 4 — day 7, dose 2

2021-02-13

Systemic reaction (other): Eye pain

Release 5 — day 28, dose 2

2021-03-05

Symptoms: Pain in the back of my eyes.

Release 5 — day 35, dose 2

2021-03-12

Symptoms: Severe headaches and severe pain in the back muscles. Strong pain in the back of the eyes. Numbness in the hands and a lot of weakness especially at night.

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: Inflammation of the abdomen, feeling of fullness without having eaten food or having ingested a minimal portion of food, vomiting, numbness in the arms and dizziness, weakness in the body and twice my brain goes numb and sometimes my memory goes away cut off by CDC

Release 9 — 6 months, dose 2

2021-08-06

Symptoms: Muscular pain, pressure in my stomach that cause me sometimes dificulty to breath and nervs.

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
SDAbdominal discomfort ✓ · ✓
SDAbdominal distension ✓ · ✓
SDAmnesia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDDyspnoea ✓ · ✓
SDEye pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDInflammation ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNervousness ✓ · ✓
SDVomiting ✓ ✓ ✓
SROEye pain ✓ ✓ ✓

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