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6CV-29485-50952

2 vaccinations 4 coded responses 22 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
450 / OH
Registered
2021-03-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Registered in v-safe
  2. 2021-03-18
    Dose 1 — Moderna
  3. 2021-03-18
    Health check-in — day 0, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  4. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  5. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  6. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  7. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  8. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-03-25
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-04-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-08
    Survey response — day 21, dose 1
    MedDRA: Hypoaesthesia, Peripheral swelling, Pruritus — Feeling: Good
    Free text: Swelling in left arm where injection site was and itching : applied alcohol on injection site ans also had some numbness in left arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-15
    Dose 2 — Moderna
  13. 2021-04-15
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness
    Adult check-in
  14. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  16. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness, Diarrhea
    Adult check-in
  18. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fatigue or tiredness
    Adult check-in
  19. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-04-29
    Survey response — day 14, dose 2
    MedDRA: Blister, Herpes zoster, Pain in extremity, Pre-existing disease, Stress — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Stress from arm pain brought out shingels on left leg . its a patch of blisters i think its shingles because they have came out before when i had stress
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-17
    Survey response — 3 months, dose 2
    MedDRA: Erythema of eyelid, Eye pain, Hordeolum — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Stys on both eyeelids / red stys under eyelid and stys on bottom eye lid. Red painfull appeard after i had shotts
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-10-14
    Survey response — 6 months, dose 2
    MedDRA: Hordeolum — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I have had STYS on my eyelid since my shots
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-10-14
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  27. 2021-10-18

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-15Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-08

Symptoms: Swelling in left arm where injection site was and itching : applied alcohol on injection site ans also had some numbness in left arm.

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Stress from arm pain brought out shingels on left leg . its a patch of blisters i think its shingles because they have came out before when i had stress

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: Stys on both eyeelids / red stys under eyelid and stys on bottom eye lid. Red painfull appeard after i had shotts

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: I have had STYS on my eyelid since my shots

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
SDBlister ✓ ✓ ✓
SDErythema of eyelid · · ✓
SDEye pain · · ✓
SDHerpes zoster ✓ ✓ ✓
SDHordeolum · · ✓
SDHypoaesthesia ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDStress ✓ ✓ ✓

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