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
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2021-03-17
Registered in v-safe
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2021-03-17
Dose 1 — Moderna
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Visual impairment — Feeling: GoodFree 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
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Ocular discomfort, Visual impairment — Feeling: GoodFree text: Spots in eyes stillMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Pigmentation disorder — Feeling: GoodFree text: Spots are getting better, but not gone yetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Visual impairment — Feeling: GoodFree text: Still have the spots in my right eyeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Visual impairment — Feeling: GoodFree 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
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2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: GoodFree text: Still have spots and dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 7, dose 1MedDRA: Skin discolouration — Feeling: GoodFree 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 anythingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-07
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2021-04-14
Dose 2 — Moderna
- 2021-04-14
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Headache, Muscle or body achesAdult check-in
- 2021-04-20
- 2021-04-21
- 2021-05-05
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2021-05-12
Survey response — day 28, dose 2MedDRA: Cough, Nasal congestion, Nasopharyngitis, Productive cough, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
- 2021-05-19
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2021-05-26
Survey response — day 42, dose 2MedDRA: Eye disorder — Feeling: GoodFree text: Spots in my eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
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.
Systemic reaction (other): Spots in eyes still
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Spots are getting better, but not gone yet
Systemic reaction (other): Still have the spots in my right eye
Systemic reaction (other): Spots in my eyes and added wooziness , on all prior reports. The spots make a sense of dizziness.
Systemic reaction (other): Still have spots and dizziness.
Release 6 — day 7, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Eye disorder | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Ocular discomfort | ✓ | ✓ | ○ |
| SRO | Pigmentation disorder | ✓ | ✓ | ✓ |
| SRO | Skin discolouration | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release