6KX-63661-01066
2 vaccinations
6 coded responses
11 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 923 / CA
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-25
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
-
2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Eye movement disorder, Headache — Feeling: Poor · HeadacheFree text: I wont bad headache on the right side of my head and also Im having trouble closing my right eye alsoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Bell's palsy, Facial paralysis, Headache — Feeling: Poor · Headache · Be unable to do your normal daily activitiesFree text: The right side of my head has a severe headache and I think I have Bells palsyand from the shot because my right wont close and my right side of my mouth is drooping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Bell's palsy — Feeling: Poor · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bells Palsey on right side of face.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Bell's palsy, Headache, Pre-existing disease — Feeling: Poor · Headache · Be unable to work, Be unable to do your normal daily activitiesFree text: I currently have bells palsy on right side of face,eye,head aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — day 7, dose 1MedDRA: Bell's palsy, Headache — Feeling: Poor · Be unable to workFree text: Bells Palsy & slight HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — day 14, dose 1MedDRA: Bell's palsy, Facial paralysis, Headache, Office visit — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Symptoms: Bells Palsy. Drooping right side of face. Headache on right side · Healthcare visit (other): Drs officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Report sent to call center — day 14, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-20
- 2021-03-25
-
2021-04-05
Dose 2 — Moderna
- 2021-04-08
- 2021-04-10
- 2021-05-17
- 2021-09-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I wont bad headache on the right side of my head and also Im having trouble closing my right eye also
Systemic reaction (other): The right side of my head has a severe headache and I think I have Bells palsyand from the shot because my right wont close and my right side of my mouth is drooping.
Systemic reaction (other): Bells Palsey on right side of face.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I currently have bells palsy on right side of face,eye,head aches.
Release 5 — day 7, dose 1
Systemic reaction (other): Bells Palsy & slight Headaches
Release 5 — day 14, dose 1
Symptoms: Bells Palsy. Drooping right side of face. Headache on right side
Healthcare visit (other): Drs office
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 | ✓ | ✓ | ✓ |
| SD | Bell's palsy | ✓ | ✓ | ✓ |
| SD | Facial paralysis | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Bell's palsy | ✓ | ✓ | ✓ |
| SRO | Eye movement disorder | ✓ | ✓ | ✓ |
| SRO | Facial paralysis | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release