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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

  1. 2021-02-01
    Dose 1 — Moderna
  2. 2021-02-02
    Registered in v-safe
  3. 2021-02-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Fair · Site: Pain · Headache, Joint pains
    Free text: Body itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Fair · Site: Itching · Fatigue or tiredness
    Free text: Still itchy, but not as bad as yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pruritus — Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness
    Free text: Itchy eyes, better than yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry eye — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness
    Free text: Dry eyes. First right eye, now left
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-08
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-15
    Survey response — day 14, dose 1
    MedDRA: Injection site pain — Feeling: Fair
    Free 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
  10. 2021-02-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-01
    Dose 2 — Moderna
  12. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  13. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · None
    Adult check-in
  14. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · None
    Adult check-in
  15. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · None
    Adult check-in
  16. 2021-03-08
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · None
    Adult check-in
  17. 2021-03-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-29
    Survey response — day 28, dose 2
    MedDRA: Eye pruritus, Lacrimation increased, Oropharyngeal pain, Pre-existing disease, Rhinorrhoea — Feeling: Fair
    Free 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
  20. 2021-04-05
    Survey response — day 35, dose 2
    MedDRA: Eye pruritus, Self-medication — Feeling: Fair
    Free 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
  21. 2021-04-12
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-06-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-03-04
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-01Moderna
22021-03-01Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): Body itching

2021-02-03

Systemic reaction (other): Still itchy, but not as bad as yesterday.

2021-02-04

Systemic reaction (other): Itchy eyes, better than yesterday.

2021-02-05

Systemic reaction (other): Dry eyes. First right eye, now left

2021-02-06

Systemic reaction (other): No

Release 4 — day 14, dose 1

2021-02-15

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

2021-03-29

Symptoms: Itchy eyes. Watery eyes. Runny nose. Sore throat. Probably just allergies.

Release 6 — day 35, dose 2

2021-04-05

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

FieldPreferred term2021-092023-042024-11
SDEye pruritus ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDLacrimation increased ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSelf-medication ✓ · ✓
SRODry eye ✓ ✓ ✓
SROEye pruritus ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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