4HB-56099-58723

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 321 / FL
Registered: 2021-04-19

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-19
Registered in v-safe
2021-04-19
Dose 1 — Moderna
2021-04-19
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Eye swelling, Ocular hyperaemia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Eyes blood shot red swollen day 4 after vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19, Erythema of eyelid, Ocular discomfort, Ocular hyperaemia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work

Free text: 4 days after Vaccine On 4/23/2021 woke up with very red bloodshot eyes, pressure and red eyelids. Went to clinic got tested for covid waiting for results on Monday, still bloodshot today but got patadyl eye drops. This was a reaction to Vaccine. Nothing different in my life added or changed. If I have a reaction same from second shot May 17th its definitely the side effect of shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — day 7, dose 1
MedDRA: Conjunctivitis — Feeling: Good · Fatigue or tiredness · Be unable to work

Free text: Conjunctivitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Dose 2 — Moderna
2021-05-18
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to work

Free text: Lymph glands in neck are swollen and very tender since Thursday evening at collar bone right side where got shot right arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-08
Survey response — day 21, dose 2
MedDRA: Office visit, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: A lot of heart palpitations and weird feelings with the heart went to a cardiologist to get a Holter monitor for 48 hours waiting to see results · Healthcare visit (other): Pcp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Survey response — 3 months, dose 2
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Contracted Covid 19

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-19
Call 1 — Could Not Reach Participant
2021-08-24
Call 2 — Left Voicemail
2021-08-24
Callback requested for

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-19	Moderna
2	2021-05-18	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-23

Systemic reaction (other): Eyes blood shot red swollen day 4 after vaccine

2021-04-24

Systemic reaction (other): 4 days after Vaccine On 4/23/2021 woke up with very red bloodshot eyes, pressure and red eyelids. Went to clinic got tested for covid waiting for results on Monday, still bloodshot today but got patadyl eye drops. This was a reaction to Vaccine. Nothing different in my life added or changed. If I have a reaction same from second shot May 17th its definitely the side effect of shot.

Release 7 — day 7, dose 1

2021-04-26

Systemic reaction (other): Conjunctivitus

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): Dizziness Light headed

2021-05-21

Systemic reaction (other): Lymph glands in neck are swollen and very tender since Thursday evening at collar bone right side where got shot right arm.

Release 8 — day 21, dose 2

2021-06-08

Symptoms: A lot of heart palpitations and weird feelings with the heart went to a cardiologist to get a Holter monitor for 48 hours waiting to see results

Healthcare visit (other): Pcp

Release 9 — 3 months, dose 2

2021-08-17

Symptoms: Contracted Covid 19

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	COVID-19	✓	·	✓
SD	Office visit	✓	✓	✓
SD	Palpitations	✓	✓	✓
SRO	Conjunctivitis	✓	✓	✓
SRO	COVID-19	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Erythema of eyelid	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓

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