4CA-89405-08940
2 vaccinations
7 coded responses
23 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 974 / OR
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-02
Dose 1 — Moderna
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2021-04-05
Registered in v-safe
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Dizzy/light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
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2021-04-30
Dose 2 — Moderna
- 2021-04-30
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Dysphonia, Throat irritation — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cough; raspy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: LightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Blepharospasm, Eye pain, Pain — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Since yesterday, Ive been feeling intermittent brief stabbing pains behind my eyes (most often, behind the right eye). Its occurred approximately 20 times in the last 24 hours). Never behind both eyes at once. Happening less today. Today my right eye has been twitching periodically.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Constipation — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Was constipated 4 days after shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-07
- 2021-05-14
- 2021-05-21
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2021-05-28
Survey response — day 28, dose 2MedDRA: Blepharospasm — Feeling: GoodFree text: My left eyelid has been twitching intermittently every day since my second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
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2021-06-11
Survey response — day 42, dose 2MedDRA: Blepharospasm — Feeling: GoodFree text: My right eye has twitched every day except one since my second vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-30
- 2021-10-29
- 2022-04-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy/light headed
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Cough; raspy throat
Systemic reaction (other): Lightheaded
Systemic reaction (other): Since yesterday, Ive been feeling intermittent brief stabbing pains behind my eyes (most often, behind the right eye). Its occurred approximately 20 times in the last 24 hours). Never behind both eyes at once. Happening less today. Today my right eye has been twitching periodically.
Systemic reaction (other): Was constipated 4 days after shot.
Release 8 — day 28, dose 2
Symptoms: My left eyelid has been twitching intermittently every day since my second shot.
Release 9 — day 42, dose 2
Symptoms: My right eye has twitched every day except one since my second vaccination.
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 | Blepharospasm | ✓ | ✓ | ✓ |
| SRO | Blepharospasm | ✓ | ✓ | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysphonia | · | · | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release