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
-
2021-03-18
Registered in v-safe
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2021-03-18
Dose 1 — Moderna
- 2021-03-18
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
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2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
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2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-25
- 2021-04-01
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2021-04-08
Survey response — day 21, dose 1MedDRA: Hypoaesthesia, Peripheral swelling, Pruritus — Feeling: GoodFree 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
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2021-04-15
Dose 2 — Moderna
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2021-04-15
Health check-in — day 0, dose 2Feeling: Fair · Site: Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache · Be unable to do your normal daily activitiesAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness, DiarrheaAdult check-in
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-04-22
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2021-04-29
Survey response — day 14, dose 2MedDRA: Blister, Herpes zoster, Pain in extremity, Pre-existing disease, Stress — Feeling: Fair · Be unable to do your normal daily activitiesFree 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 stressMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-13
- 2021-05-21
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2021-07-17
Survey response — 3 months, dose 2MedDRA: Erythema of eyelid, Eye pain, Hordeolum — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stys on both eyeelids / red stys under eyelid and stys on bottom eye lid. Red painfull appeard after i had shottsMedDRA releases: 2024-11 · check-in free text available
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2021-10-14
Survey response — 6 months, dose 2MedDRA: 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 consultationFree text: I have had STYS on my eyelid since my shotsMedDRA releases: 2024-11 · check-in free text available
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2021-10-14
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 21, dose 1
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Blister | ✓ | ✓ | ✓ |
| SD | Erythema of eyelid | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Hordeolum | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Stress | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release