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4GE-10881-73170

2 vaccinations 9 coded responses 18 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
915 / CA
Registered
2021-03-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-17
    Registered in v-safe
  2. 2021-03-17
    Dose 1 — Moderna
  3. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Visual impairment — Feeling: Good
    Free text: Spots out of the corner of my eyes, like Im seeing a fruit fly for a second or two. Lots of them as my vision moves.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ocular discomfort, Visual impairment — Feeling: Good
    Free text: Spots in eyes still
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pigmentation disorder — Feeling: Good
    Free text: Spots are getting better, but not gone yet
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Visual impairment — Feeling: Good
    Free text: Still have the spots in my right eye
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Visual impairment — Feeling: Good
    Free text: Spots in my eyes and added wooziness , on all prior reports. The spots make a sense of dizziness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good
    Free text: Still have spots and dizziness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-24
    Survey response — day 7, dose 1
    MedDRA: Skin discolouration — Feeling: Good
    Free text: Still have spots in my Right Ill I literally got them on the way home from getting my first vaccination I did not have their prior that would be any Green Lake large coincidence if it wasnt on the shot but I am going to go get it checked out in the house because its not a good sign of anything
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-14
    Dose 2 — Moderna
  13. 2021-04-14
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness
    Adult check-in
  15. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · Headache, Muscle or body aches
    Adult check-in
  16. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-12
    Survey response — day 28, dose 2
    MedDRA: Cough, Nasal congestion, Nasopharyngitis, Productive cough, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Dont know if Im just getting a cold or ? Im developing a cough with nasal congestion, Post nasal drip and a lot of phlegm.Which keeps me from going out.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-26
    Survey response — day 42, dose 2
    MedDRA: Eye disorder — Feeling: Good
    Free text: Spots in my eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna
22021-04-14Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Spots out of the corner of my eyes, like Im seeing a fruit fly for a second or two. Lots of them as my vision moves.

2021-03-19

Systemic reaction (other): Spots in eyes still

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Spots are getting better, but not gone yet

2021-03-21

Systemic reaction (other): Still have the spots in my right eye

2021-03-22

Systemic reaction (other): Spots in my eyes and added wooziness , on all prior reports. The spots make a sense of dizziness.

2021-03-23

Systemic reaction (other): Still have spots and dizziness.

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Still have spots in my Right Ill I literally got them on the way home from getting my first vaccination I did not have their prior that would be any Green Lake large coincidence if it wasnt on the shot but I am going to go get it checked out in the house because its not a good sign of anything

Release 8 — day 28, dose 2

2021-05-12

Symptoms: Dont know if Im just getting a cold or ? Im developing a cough with nasal congestion, Post nasal drip and a lot of phlegm.Which keeps me from going out.

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Spots in my eyes

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
SDCough ✓ ✓ ✓
SDEye disorder ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDProductive cough ✓ ✓ ✓
SDUpper-airway cough syndrome ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROOcular discomfort ✓ ✓ ○
SROPigmentation disorder ✓ ✓ ✓
SROSkin discolouration ✓ ✓ ✓
SROVisual impairment ✓ ✓ ✓

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