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5E7-11393-17089

3 vaccinations 11 coded responses 27 check-ins 11 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
070 / NJ
Registered
2021-04-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-19
    Dose 1 — Moderna
  2. 2021-04-20
    Registered in v-safe
  3. 2021-04-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry eye, Eye pruritus — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Dry, itchy eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pruritus — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Itchy eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-04-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pruritus — Feeling: Good
    Free text: Itchy eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry eye, Eye pruritus — Feeling: Good
    Free text: Dry itchy eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-26
    Survey response — day 7, dose 1
    MedDRA: Dry eye, Eye pruritus — Feeling: Good
    Free text: Dry itchy eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-03
    Survey response — day 14, dose 1
    MedDRA: Dry eye, Eye pruritus, Injection site erythema, Injection site pruritus, Injection site swelling, Ocular hyperaemia — Feeling: Good
    Free text: The day after the last check in, the area where I received the shot became red, swollen, and itchy for a few days. Also still have dry, itchy eyes, and redness which wasnt there before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-17
    Dose 2 — Moderna
  13. 2021-05-17
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-05-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ocular hyperaemia — Feeling: Good · Site: Pain
    Free text: Eyes still slightly red/bloodshot since the first dose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-31
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-07
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-06-14
    Survey response — day 28, dose 2
    MedDRA: Ocular hyperaemia — Feeling: Good
    Free text: Same eye bloodshot again
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-06-21
    Survey response — day 35, dose 2
    MedDRA: Diarrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Diarrhea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-06-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-18
    Survey response — 3 months, dose 2
    MedDRA: Pruritus — Feeling: Good
    Free text: Itchy face and neck. Not sure if its related to the vax. Could be from a new laundry detergent that was used.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-11-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-27
    Dose 3 — Moderna
  29. 2022-05-18
    Survey response — 12 months, dose 2
    MedDRA: Allergic respiratory symptom, Cough, Fatigue, Respiratory tract congestion, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Fatigue, cough, congestion, sneezing, allergy like symptoms
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-06-27
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-12-27
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-19Moderna
22021-05-17Moderna
32021-12-27Moderna No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): Dry, itchy eyes

2021-04-21

Systemic reaction (other): Itchy eyes

2021-04-23

Systemic reaction (other): Itchy eyes

2021-04-25

Systemic reaction (other): Dry itchy eyes

Release 7 — day 7, dose 1

2021-04-26

Systemic reaction (other): Dry itchy eyes

Release 8 — day 14, dose 1

2021-05-03

Symptoms: The day after the last check in, the area where I received the shot became red, swollen, and itchy for a few days. Also still have dry, itchy eyes, and redness which wasnt there before.

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): Eyes still slightly red/bloodshot since the first dose

Release 9 — day 28, dose 2

2021-06-14

Symptoms: Same eye bloodshot again

Release 9 — day 35, dose 2

2021-06-21

Symptoms: Diarrhea.

Release 9 — 3 months, dose 2

2021-08-18

Symptoms: Itchy face and neck. Not sure if its related to the vax. Could be from a new laundry detergent that was used.

Release 11 — 12 months, dose 2

2022-05-18

Symptoms: Fatigue, cough, congestion, sneezing, allergy like symptoms

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
SDAllergic respiratory symptom · · ✓
SDCough · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDry eye ✓ ✓ ✓
SDEye pruritus ✓ ✓ ✓
SDFatigue · · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDOcular hyperaemia ✓ ✓ ✓
SDPruritus ✓ · ✓
SDRespiratory tract congestion · · ✓
SDSneezing · · ✓
SRODry eye ✓ ✓ ✓
SROEye pruritus ✓ ✓ ✓
SROOcular hyperaemia ✓ ✓ ✓

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

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