3KF-22317-20633
2 vaccinations
8 coded responses
21 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 981 / WA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-01
Dose 1 — Moderna
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2021-02-02
Registered in v-safe
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2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Fair · Site: Pain · Headache, Joint painsFree text: Body itchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Fair · Site: Itching · Fatigue or tirednessFree text: Still itchy, but not as bad as yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus — Feeling: Fair · Site: Redness · Headache, Fatigue or tirednessFree text: Itchy eyes, better than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Dry eye — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tirednessFree text: Dry eyes. First right eye, now leftMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
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2021-02-15
Survey response — day 14, dose 1MedDRA: Injection site pain — Feeling: FairFree text: Rash on left arm at injection site. Covered my upper arm. Used ice packs and Aleve to lesspn the pain. Lasted for 3 days. Has not completely gone away, but it is better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
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2021-03-01
Dose 2 — Moderna
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-03-08
Health check-in — day 7, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-15
- 2021-03-22
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2021-03-29
Survey response — day 28, dose 2MedDRA: Eye pruritus, Lacrimation increased, Oropharyngeal pain, Pre-existing disease, Rhinorrhoea — Feeling: FairFree text: Itchy eyes. Watery eyes. Runny nose. Sore throat. Probably just allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — day 35, dose 2MedDRA: Eye pruritus, Self-medication — Feeling: FairFree text: My eyes were very itchy this week. And my right eye in particular was worse than my left eye. I thought it might be allergies, but I have never had it before and it had continued even though I have taken allergy medication. (Over the counter.)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-06-02
- 2021-09-02
- 2022-03-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Body itching
Systemic reaction (other): Still itchy, but not as bad as yesterday.
Systemic reaction (other): Itchy eyes, better than yesterday.
Systemic reaction (other): Dry eyes. First right eye, now left
Systemic reaction (other): No
Release 4 — day 14, dose 1
Symptoms: Rash on left arm at injection site. Covered my upper arm. Used ice packs and Aleve to lesspn the pain. Lasted for 3 days. Has not completely gone away, but it is better.
Release 6 — day 28, dose 2
Symptoms: Itchy eyes. Watery eyes. Runny nose. Sore throat. Probably just allergies.
Release 6 — day 35, dose 2
Symptoms: My eyes were very itchy this week. And my right eye in particular was worse than my left eye. I thought it might be allergies, but I have never had it before and it had continued even though I have taken allergy medication. (Over the counter.)
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 | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release