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439-19304-29899

1 vaccination 5 coded responses 9 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
222 / VA
Registered
2021-03-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Dose 1 — Moderna
  2. 2021-03-09
    Registered in v-safe
  3. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye irritation, Eye pruritus — Feeling: Fair · Fatigue or tiredness
    Free text: I had itchy, burning eyes on March 5 that continued until March 8.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sinus disorder — Feeling: Fair · Chills
    Free text: Sinus feels raw
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-11
    Survey response — day 7, dose 1
    MedDRA: Paranasal sinus discomfort, Sinus pain — Feeling: Fair · Chills
    Free text: Sinus is still feeling raw and irritated
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-18
    Survey response — day 14, dose 1
    MedDRA: Eye irritation, Insomnia, Poor quality sleep, Self-medication, Sinus disorder — Feeling: Fair
    Free text: I have had insomnia since I got my shot, sleeping only 4-5 hours per night. I have had to take a sleep aid. Prior to my shot, I was sleeping well and have generally always slept well. Burning eyes and sinus have improved.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-25
    Survey response — day 21, dose 1
    MedDRA: Insomnia — Feeling: Fair
    Free text: I feel worse because I still have insomnia. This started the night after my vaccination. In the past, I have most always slept well.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-01
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-06-03
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-09-02
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  11. 2022-03-04
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): I had itchy, burning eyes on March 5 that continued until March 8.

2021-03-10

Systemic reaction (other): Sinus feels raw

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Sinus is still feeling raw and irritated

Release 5 — day 14, dose 1

2021-03-18

Symptoms: I have had insomnia since I got my shot, sleeping only 4-5 hours per night. I have had to take a sleep aid. Prior to my shot, I was sleeping well and have generally always slept well. Burning eyes and sinus have improved.

Release 6 — day 21, dose 1

2021-03-25

Symptoms: I feel worse because I still have insomnia. This started the night after my vaccination. In the past, I have most always slept well.

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 irritation ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDPoor quality sleep ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDSinus disorder ✓ ✓ ✓
SROEye irritation ✓ ✓ ✓
SROEye pruritus ✓ ✓ ✓
SROParanasal sinus discomfort ✓ ✓ ✓
SROSinus disorder ✓ ✓ ✓
SROSinus pain ✓ ✓ ✓

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