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3Q6-12139-32598

1 vaccination 2 coded responses 8 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
335 / FL
Registered
2021-03-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-03-05
    Registered in v-safe
  3. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pruritus, Hypoaesthesia oral, Lip swelling — Feeling: Good
    Free text: I got the shot 3/3 at 5:45 PM. Around 9:15 PM that evening, my eyes began itching and lasted 45- 60 minutes then stopped. I went to bed around 1:00 AM and my upper lip felt slightly swollen and numbing, but not severe. This lasted 45-60 minutes then went away. Since then I have felt fine. I need to be notified if I should still receive my 2nd shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypersensitivity — Feeling: Good
    Free text: After experiencing slight allergy issues the day of the injection, I want to be notified whether or not I should receive the 2nd injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): I got the shot 3/3 at 5:45 PM. Around 9:15 PM that evening, my eyes began itching and lasted 45- 60 minutes then stopped. I went to bed around 1:00 AM and my upper lip felt slightly swollen and numbing, but not severe. This lasted 45-60 minutes then went away. Since then I have felt fine. I need to be notified if I should still receive my 2nd shot.

2021-03-06

Systemic reaction (other): After experiencing slight allergy issues the day of the injection, I want to be notified whether or not I should receive the 2nd injection.

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
SROEye pruritus ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROLip swelling ✓ ✓ ✓

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