3TD-25560-96363
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 329 / FL
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-31
Registered in v-safe
-
2021-01-31
Dose 1 — Moderna
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-14
- 2021-02-21
-
2021-02-28
Dose 2 — Moderna
- 2021-02-28
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: Fair · Site: Pain · HeadacheFree text: Red area the size of a silver dollar about 3 inches down from injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Good · Site: Pain, RednessFree text: Redness has decreased from yesterday and is not as warm (3inches below the injection site as I reported yesterday)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site warmth — Feeling: Fair · Nausea, Diarrhea, Rash, not including the immediate area around the injection siteFree text: Same silver dollar size red area about 3inches down from injection site but getting lighter each day only slightly warmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-05-30
-
2021-08-29
Survey response — 6 months, dose 2MedDRA: Eye infection, Eye oedema, Macular oedema, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Macular edema left eye and infection in the right eye. Infection cleared but edema noted in right eye also. Currently under treatment by ophthalmologist. · Healthcare visit (other): Just a visits to my ophthalmologistMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-29
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-15
- 2022-03-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Moderna | |
| 2 | 2021-02-28 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Red area the size of a silver dollar about 3 inches down from injection site
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Redness has decreased from yesterday and is not as warm (3inches below the injection site as I reported yesterday)
Systemic reaction (other): Same silver dollar size red area about 3inches down from injection site but getting lighter each day only slightly warm
Release 9 — 6 months, dose 2
Symptoms: Macular edema left eye and infection in the right eye. Infection cleared but edema noted in right eye also. Currently under treatment by ophthalmologist.
Healthcare visit (other): Just a visits to my ophthalmologist
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Eye infection | ✓ | · | ✓ |
| SD | Eye oedema | ✓ | · | ✓ |
| SD | Macular oedema | ✓ | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release