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3KD-20505-32442

3 vaccinations 6 coded responses 18 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
212 / MD
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-04
    Dose 2 — Moderna
  4. 2021-02-04
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Photopsia, Vaccine positive rechallenge, Vitreous floaters — Feeling: Good · Site: Pain, Redness, Itching
    Free text: After the first dose I noticed visually I had floaters/flashes in my vision. They had begun to diminish and then after the second shot I noticed more flashes again in my vision. I am not sure if they are related to the shot but wanted to report that it was very noticeable both times after receiving a shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Photopsia, Vitreous disorder, Vitreous floaters — Feeling: Good · Site: Pain, Redness, Itching
    Free text: Just continuing to get symptoms of visual vitreous swelling such as flashes of light and floaters
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Office visit, Swelling, Visual impairment, Vitreous detachment, Vitreous disorder — Feeling: Good · Site: Pain, Redness
    Free text: Just the visual changes that I reported previously. I did go to an ophthalmologist and there is swelling in the vitreous. Something called PVD which is posterior vitreous detachment
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Photopsia, Vitreous floaters — Feeling: Good
    Free text: Still having visual floaters/flashing but seems to be diminishing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vitreous floaters — Feeling: Good
    Free text: Visual floaters still present- less visual flashes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-11
    Survey response — day 7, dose 2
    MedDRA: Photopsia — Feeling: Good
    Free text: Still having some visual floaters/ flashes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-19
    Dose 3 — Moderna
  20. 2022-02-04
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-05-20
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-11-19
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-04Moderna
32021-11-19Moderna No

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): After the first dose I noticed visually I had floaters/flashes in my vision. They had begun to diminish and then after the second shot I noticed more flashes again in my vision. I am not sure if they are related to the shot but wanted to report that it was very noticeable both times after receiving a shot

2021-02-07

Systemic reaction (other): Just continuing to get symptoms of visual vitreous swelling such as flashes of light and floaters

2021-02-08

Systemic reaction (other): Just the visual changes that I reported previously. I did go to an ophthalmologist and there is swelling in the vitreous. Something called PVD which is posterior vitreous detachment

2021-02-09

Systemic reaction (other): Still having visual floaters/flashing but seems to be diminishing

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Visual floaters still present- less visual flashes

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Still having some visual floaters/ flashes

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
SROOffice visit ✓ · ✓
SROPhotopsia ✓ ✓ ✓
SROSwelling ✓ · ✓
SROVaccine positive rechallenge ✓ ✓ ✓
SROVisual impairment ✓ ✓ ✓
SROVitreous detachment ✓ ✓ ✓
SROVitreous disorder ✓ ✓ ✓
SROVitreous floaters ✓ ✓ ✓

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

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