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5NJ-10028-29392

2 vaccinations 3 coded responses 17 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
981 / WA
Registered
2021-01-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-17
    Registered in v-safe
  2. 2021-01-17
    Dose 1 — Moderna
  3. 2021-01-17
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  6. 2021-01-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pain, Hypoaesthesia, Pain, Pain in jaw — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Kinda weird but, I've developed an area of sensitivity, numbness and pain about two inches wide from the right side of the top of my head down through my right eye, cheek and jaw. No loss in ability to move or droopiness on that side but it's getting a bit more intense as the day goes on. Started on Tuesday with just sensitivity.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-21
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Trigeminal neuralgia — Feeling: Fair · Headache
    Free text: Trigeminal Neuralgia symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-24
    Survey response — day 7, dose 1
    MedDRA: Trigeminal neuralgia — Feeling: Fair · Headache
    Free text: Trigeminal Neuralgia or possibly Shingles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-31
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-14
    Dose 2 — Moderna
  14. 2021-02-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-26
  20. 2021-03-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-01
  22. 2021-05-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-17Moderna
22021-02-14Moderna

Call center

1 call center case

1 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): Kinda weird but, I've developed an area of sensitivity, numbness and pain about two inches wide from the right side of the top of my head down through my right eye, cheek and jaw. No loss in ability to move or droopiness on that side but it's getting a bit more intense as the day goes on. Started on Tuesday with just sensitivity.

2021-01-23

Systemic reaction (other): Trigeminal Neuralgia symptoms

Release 2 — day 7, dose 1

2021-01-24

Systemic reaction (other): Trigeminal Neuralgia or possibly Shingles

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
SROEye pain ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SROTrigeminal neuralgia ✓ ✓ ✓

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