5FM-20862-54229
2 vaccinations
7 coded responses
25 check-ins
7 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 870 / NM
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 1 — Moderna
- 2021-03-26
-
2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Photopsia, Vitreous floaters — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Light flashes in left eye followed by significant floatersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Photopsia, Unevaluable event, Vitreous floaters — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Floaters in the left eye are not quite as bad. Light flashes seem to have gone away. · Healthcare visit (other): Will contact an ophthalmologist tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Eye pain, Vitreous floaters — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I am still experiencing floaters in my left eye and soreness. I contacted my insurer and they suggested I go to Urgent Care if the ophthalmologist cant see me today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Eye pain, Photopsia, Unevaluable event, Vitreous floaters — Feeling: Fair · Headache · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Left eye - pain, flashes and floaters · Healthcare visit (other): Eye appointment scheduled for tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Eye pain, Office visit, Vitreous floaters — Feeling: Good · Headache · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Left eye - pain & floaters · Healthcare visit (other): Dr appt at officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-10
- 2021-04-17
- 2021-04-23
-
2021-04-30
Dose 2 — Moderna
- 2021-04-30
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Loss of consciousness — Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Passed out yesterday evening and it lasted until this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
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2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cant think straight - fuzzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-07-30
- 2021-10-30
- 2022-01-12
- 2022-01-17
- 2022-04-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-30 | Moderna |
Call center
4 call center cases
4 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Light flashes in left eye followed by significant floaters
Systemic reaction (other): Floaters in the left eye are not quite as bad. Light flashes seem to have gone away.
Healthcare visit (other): Will contact an ophthalmologist tomorrow
Systemic reaction (other): I am still experiencing floaters in my left eye and soreness. I contacted my insurer and they suggested I go to Urgent Care if the ophthalmologist cant see me today.
Systemic reaction (other): Left eye - pain, flashes and floaters
Healthcare visit (other): Eye appointment scheduled for tomorrow
Systemic reaction (other): Left eye - pain & floaters
Healthcare visit (other): Dr appt at office
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Passed out yesterday evening and it lasted until this morning
Systemic reaction (other): Cant think straight - fuzzy
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Loss of consciousness | ✓ | ✓ | ✓ |
| SRO | Photopsia | ✓ | ✓ | ✓ |
| SRO | Vitreous floaters | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release