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54J-16003-77757

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
319 / GA
Registered
2021-02-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Dose 1 — Moderna
  2. 2021-02-13
    Registered in v-safe
  3. 2021-02-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Decreased appetite — Feeling: Good · Site: Pain
    Free text: Less appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-19
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-02-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-12
    Dose 2 — Moderna
  12. 2021-03-12
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: I slept really well last night!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-03-19
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-02
    Survey response — day 21, dose 2
    MedDRA: Vision blurred — Feeling: Good
    Free text: Some blurry vision, but think it may be related to time spent inside. Hope better weather and sun time clears it up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-16
    Survey response — day 35, dose 2
    MedDRA: Dizziness, Photophobia — Feeling: Good
    Free text: Still experiencing apparent light sensitivity. Shortened time I can comfortably work on computer and need sunglasses outside.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-11
    Survey response — 3 months, dose 2
    MedDRA: Asthenia, Photophobia, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Keep having blurred vision, even new glasses did not help. Seems to be related to light sensitivity. Tend to need to nap in middle of day and lazier than usual. Low energy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-09-10
    Survey response — 6 months, dose 2
    MedDRA: Hypertension, Office visit, Photophobia — Feeling: Fair
    Free text: Dr. Thought blood pressure too high so wanted to monitor it. Bad experience, so am back to using my own monitor regularly. Still experiencing light sensitivity, but doctor does not seem alarmed by it. Need to start staying outside more.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-03-12
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-12Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): Less appetite

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): I slept really well last night!

Release 6 — day 21, dose 2

2021-04-02

Symptoms: Some blurry vision, but think it may be related to time spent inside. Hope better weather and sun time clears it up

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Still experiencing apparent light sensitivity. Shortened time I can comfortably work on computer and need sunglasses outside.

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: Keep having blurred vision, even new glasses did not help. Seems to be related to light sensitivity. Tend to need to nap in middle of day and lazier than usual. Low energy

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Dr. Thought blood pressure too high so wanted to monitor it. Bad experience, so am back to using my own monitor regularly. Still experiencing light sensitivity, but doctor does not seem alarmed by it. Need to start staying outside more.

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
SDAsthenia ✓ ✓ ✓
SDDizziness ○ ✓ ○
SDHypertension · · ✓
SDOffice visit · · ✓
SDPhotophobia ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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