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5DV-14651-69286

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
371 / TN
Registered
2021-03-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-26
    Dose 1 — Moderna
  2. 2021-03-26
    Registered in v-safe
  3. 2021-03-26
    Dose 2 — Moderna
  4. 2021-03-26
    Survey response — day 0, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lightheaded
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  8. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Ocular hyperaemia — Feeling: Good · Site: Pain, Redness
    Free text: My eyes have been bloodshot and tired since getting the second shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenopia, Ocular hyperaemia — Feeling: Good
    Free text: My eyes are still red and tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-02
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Ocular hyperaemia — Feeling: Good · Be unable to do your normal daily activities
    Free text: 3 weeks after 2nd Covid vac I got my 2nd shingles vac. Eyes got redder & worse than w/ 2nd Covid vac. I also had sharp pains near, then a day later in, my elbow. Not sure if the two 2nd doses were too close together. I was told 2wks was time enough.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-03-30
    Survey response — 12 months, dose 2
    MedDRA: Ageusia, Anosmia, COVID-19, Chills, Cough, Eye pain, Pyrexia, Sinus congestion, Tongue eruption — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Got Covid around Feb 21st. Had fever, chills, my eyes hurt. Lost taste and smell for about 2 days. My tongue developed big bumps in the back. Had sinus congestion and a slight cough.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Moderna
22021-03-26Moderna

Free text

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): Lightheaded

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Light headed

2021-03-30

Systemic reaction (other): My eyes have been bloodshot and tired since getting the second shot.

2021-04-01

Systemic reaction (other): My eyes are still red and tired.

Release 8 — day 35, dose 2

2021-05-02

Symptoms: 3 weeks after 2nd Covid vac I got my 2nd shingles vac. Eyes got redder & worse than w/ 2nd Covid vac. I also had sharp pains near, then a day later in, my elbow. Not sure if the two 2nd doses were too close together. I was told 2wks was time enough. cut off by CDC

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: Got Covid around Feb 21st. Had fever, chills, my eyes hurt. Lost taste and smell for about 2 days. My tongue developed big bumps in the back. Had sinus congestion and a slight cough.

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
SDAgeusia · · ✓
SDAnosmia · · ✓
SDArthralgia ✓ ✓ ✓
SDChills · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDEye pain · · ✓
SDOcular hyperaemia ✓ ✓ ✓
SDPyrexia · · ✓
SDSinus congestion · · ✓
SDTongue eruption · · ✓
SROAsthenopia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROOcular hyperaemia ✓ ✓ ✓

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