69J-73267-45444

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 550 / MN
Registered: 2021-08-20

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-08-18
Dose 1 — Moderna
2021-08-20
Registered in v-safe
2021-08-20
Survey response — days 1–6 daily, dose 1
MedDRA: Hordeolum, Pain, Swelling of eyelid — Feeling: Fair · Site: Pain

Free text: Pain and a bump in my lower left eyelid. Sty

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Survey response — days 1–6 daily, dose 1
MedDRA: Eye irritation, Eye pain, Eyelid pain, Ocular hyperaemia, Swelling of eyelid — Feeling: Fair · Site: Pain

Free text: Left eye and eyelid pain with some swelling. The bump that appeared yesterday has at least quadrupled in size and is primarily on the inside of my eyelid. Appears to be an inner stye from what I can find on the internet. Both eyes burn and look red.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Survey response — days 1–6 daily, dose 1
MedDRA: Eye irritation, Eyelid pain, Ocular hyperaemia, Swelling of eyelid — Feeling: Fair · Site: Pain

Free text: My eyes are still red and burn, but the bump on my inner left lower eyelid is less painful and seems to be starting to improve.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Survey response — days 1–6 daily, dose 1
MedDRA: Eye irritation, Hordeolum, Ocular hyperaemia — Feeling: Fair

Free text: My eyes continue to be red and burn. The stye on the left lower inner eyelid is improving

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Survey response — day 7, dose 1
MedDRA: Eye irritation, Eye pain, Hordeolum, Ocular hyperaemia — Feeling: Good

Free text: Continue to have some red burning eyes, but the stye on the lower left lid is resolving snd no longer painful

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Survey response — day 14, dose 1
MedDRA: Palpitations — Feeling: Good

Free text: I have noticed some new heart palpitations

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-15
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-09-17
Dose 2 — Moderna
2021-09-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-10-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-17
Survey response — 3 months, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: I get 1-2 seconds of light headedness that come and go at times. Some days this happens several times a day. This started a week or two ago, so have not been to see my doctor about it yet.

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Survey response — 12 months, dose 2
MedDRA: Bone lesion, Endometrial disorder, Magnetic resonance imaging abnormal, Pre-existing disease, Smear cervix abnormal — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Back pain that started 6-7 months ago & now have a new bone lesion in my right proximal femur that I am going to be having a bone scan to work up further. This was found on an MRI 7/29/22. My Pap smear also just came back showing endometrial cells.

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-18	Moderna	No
2	2021-09-17	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-20

Systemic reaction (other): Pain and a bump in my lower left eyelid. Sty

2021-08-21

Systemic reaction (other): Left eye and eyelid pain with some swelling. The bump that appeared yesterday has at least quadrupled in size and is primarily on the inside of my eyelid. Appears to be an inner stye from what I can find on the internet. Both eyes burn and look red. cut off by CDC

2021-08-22

Systemic reaction (other): My eyes are still red and burn, but the bump on my inner left lower eyelid is less painful and seems to be starting to improve.

2021-08-23

Systemic reaction (other): My eyes continue to be red and burn. The stye on the left lower inner eyelid is improving

Release 9 — day 7, dose 1

2021-08-25

Systemic reaction (other): Continue to have some red burning eyes, but the stye on the lower left lid is resolving snd no longer painful

Release 9 — day 14, dose 1

2021-09-01

Symptoms: I have noticed some new heart palpitations

Release 10 — 3 months, dose 2

2021-12-17

Symptoms: I get 1-2 seconds of light headedness that come and go at times. Some days this happens several times a day. This started a week or two ago, so have not been to see my doctor about it yet.

Release 12 — 12 months, dose 2

2022-09-19

Symptoms: Back pain that started 6-7 months ago & now have a new bone lesion in my right proximal femur that I am going to be having a bone scan to work up further. This was found on an MRI 7/29/22. My Pap smear also just came back showing endometrial cells. cut off by CDC

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
SD	Bone lesion	·	·	✓
SD	Dizziness	·	·	✓
SD	Endometrial disorder	·	·	✓
SD	Magnetic resonance imaging abnormal	·	·	✓
SD	Palpitations	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Smear cervix abnormal	·	·	✓
SRO	Eye irritation	✓	·	✓
SRO	Eye pain	✓	·	✓
SRO	Eyelid pain	✓	·	✓
SRO	Hordeolum	✓	·	✓
SRO	Ocular hyperaemia	✓	·	✓
SRO	Pain	✓	·	✓
SRO	Swelling of eyelid	✓	·	✓

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