4WP-28054-20867
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 021 / MA
- Registered
- 2021-04-26
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-26
Registered in v-safe
-
2021-04-26
Dose 1 — Moderna
- 2021-04-26
- 2021-04-27
-
2021-04-28
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Injection site pain — Feeling: Good · Site: Pain · HeadacheFree text: Very little pain on the shot injection area and headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-03
- 2021-05-10
- 2021-05-17
-
2021-05-24
Dose 2 — Moderna
-
2021-05-24
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Good · Site: Pain · Headache · Be unable to workFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to workAdult check-in
- 2021-05-27
- 2021-05-29
- 2021-05-30
- 2021-05-31
-
2021-06-09
Survey response — day 14, dose 2MedDRA: Back pain, Eye pain, Headache, Pain, Rhinalgia — Feeling: FairFree text: After the 2nd Covid-19 shot 45mins I got the pain around my left eye, left side of my nose and my left side of back of my head everyday until right now! The pain is 4-5 (from 1 to 10)! I dont know why? Im never had that pain before!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-14
Survey response — day 21, dose 2MedDRA: Eye pain, Headache, Self-medication — Feeling: GoodFree text: My left eyes bone still the same, sometimes it hurts for a few days and sometimes it doesnt hurt, and I have a headache on the left side of my head. I need to take the painkiller every other day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-23
- 2021-06-28
- 2021-07-05
- 2021-08-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-26 | Moderna | |
| 2 | 2021-05-24 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Very little pain on the shot injection area and headache
Release 8 — day 0, dose 2
Systemic reaction (other): No
Release 9 — day 14, dose 2
Symptoms: After the 2nd Covid-19 shot 45mins I got the pain around my left eye, left side of my nose and my left side of back of my head everyday until right now! The pain is 4-5 (from 1 to 10)! I dont know why? Im never had that pain before!
Release 9 — day 21, dose 2
Symptoms: My left eyes bone still the same, sometimes it hurts for a few days and sometimes it doesnt hurt, and I have a headache on the left side of my head. I need to take the painkiller every other day.
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Eye pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Rhinalgia | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release