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4J6-25289-69644

3 vaccinations 5 coded responses 11 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
601 / IL
Registered
2021-02-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-05
    Registered in v-safe
  2. 2021-02-05
    Dose 1 — Moderna
  3. 2021-02-05
    Survey response — day 0, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: Unable to get 2nd dose scheduling info from (b)(6) County Health HD this is a concern. No information was given at the time the vaccine was given. No response to query. I am concerned about mussing the 28 day window for 2nd dose. Health department has not responded in (b)(6) County IL to email or call for information re 2nd dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness
    Free text: Concern the Health Dept scheduled me for 2nd dose only 15 days after the 1st dose instead of 38bdays. Is that safe to get it two weeks early,?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-03
    Dose 2 — Moderna
  10. 2021-08-14
    Dose 3 — Moderna
  11. 2021-08-15
    Survey response — days 1–6 daily, dose 3
    MedDRA: Ocular hyperaemia — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea
    Free text: Bloodshot left eye
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-08-16
    Survey response — days 1–6 daily, dose 3
    MedDRA: Ocular hyperaemia — Feeling: Good
    Free text: Still have bloody looking left eye. Whites of left eye sill extremely bloodshot
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-08-17
    Survey response — days 1–6 daily, dose 3
    MedDRA: Ocular hyperaemia — Feeling: Good
    Free text: Red eye resolving
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2021-08-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  15. 2021-08-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna
22021-03-03Moderna No
32021-08-14Moderna No

Free text

Release 3 — day 0, dose 1

2021-02-05

Systemic reaction (other): Unable to get 2nd dose scheduling info from (b)(6) County Health HD this is a concern. No information was given at the time the vaccine was given. No response to query. I am concerned about mussing the 28 day window for 2nd dose. Health department has not responded in (b)(6) County IL to email or call for information re 2nd dose.
redacted (b)(6)

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Concern the Health Dept scheduled me for 2nd dose only 15 days after the 1st dose instead of 38bdays. Is that safe to get it two weeks early,?

Release 9 — days 1–6 daily, dose 3

2021-08-15

Systemic reaction (other): Bloodshot left eye

2021-08-16

Systemic reaction (other): Still have bloody looking left eye. Whites of left eye sill extremely bloodshot

2021-08-17

Systemic reaction (other): Red eye resolving

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
SROOcular hyperaemia ✓ · ✓
SROUnevaluable event ✓ ✓ ✓

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