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4RW-18759-21110

2 vaccinations 7 coded responses 15 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
234 / VA
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-01-08
    Registered in v-safe
  3. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sensitive skin — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Sensitivity on the area two thirds down towards the tip of my sternum, towards the right of it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  5. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  6. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-23
    Survey response — day 14, dose 1
    MedDRA: Injection site discolouration — Feeling: Fair
    Free text: I have a dark 8 mm diameter spot on the left arm near where the shot was done. I also have a headache but it could be unrelated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-04
    Dose 2 — Moderna
  11. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-02-18
    Survey response — day 14, dose 2
    MedDRA: Chest discomfort, Sensitisation — Feeling: Fair
    Free text: The right side of my chest feels sensitive. No pain but sensitive.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-25
    Survey response — day 21, dose 2
    MedDRA: Chest discomfort — Feeling: Good
    Free text: I feel a bit of pressure in my chest.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-05
    Survey response — day 28, dose 2
    MedDRA: Blepharospasm, Chest discomfort — Feeling: Good
    Free text: I have a pressure in my chest and a left eyelid twitch.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-11
    Survey response — day 35, dose 2
    MedDRA: Blepharospasm — Feeling: Fair
    Free text: I have a left eye twitch that started around the time I had the first moderna vaccine. It comes and goes but its very annoying.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-18
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-05-06
    Survey response — 3 months, dose 2
    MedDRA: Myokymia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I have been dealing with myokymia in both eyes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-04Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Sensitivity on the area two thirds down towards the tip of my sternum, towards the right of it.

Release 2 — day 14, dose 1

2021-01-23

Symptoms: I have a dark 8 mm diameter spot on the left arm near where the shot was done. I also have a headache but it could be unrelated.

Release 4 — day 14, dose 2

2021-02-18

Symptoms: The right side of my chest feels sensitive. No pain but sensitive.

Release 4 — day 21, dose 2

2021-02-25

Symptoms: I feel a bit of pressure in my chest.

Release 5 — day 28, dose 2

2021-03-05

Symptoms: I have a pressure in my chest and a left eyelid twitch.

Release 5 — day 35, dose 2

2021-03-11

Symptoms: I have a left eye twitch that started around the time I had the first moderna vaccine. It comes and goes but its very annoying.

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: I have been dealing with myokymia in both 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
SDBlepharospasm ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDInjection site discolouration ✓ ✓ ✓
SDMyokymia ✓ ✓ ✓
SDSensitisation ✓ · ✓
SROSensitive skin ✓ ✓ ✓

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