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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

  1. 2021-02-25
    Dose 1 — Moderna
  2. 2021-02-27
    Registered in v-safe
  3. 2021-02-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye movement disorder, Headache — Feeling: Poor · Headache
    Free text: I wont bad headache on the right side of my head and also Im having trouble closing my right eye also
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Bell's palsy, Facial paralysis, Headache — Feeling: Poor · Headache · Be unable to do your normal daily activities
    Free 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
  5. 2021-03-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Bell's palsy — Feeling: Poor · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Bells Palsey on right side of face.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-01
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Bell's palsy, Headache, Pre-existing disease — Feeling: Poor · Headache · Be unable to work, Be unable to do your normal daily activities
    Free 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
  8. 2021-03-04
    Survey response — day 7, dose 1
    MedDRA: Bell's palsy, Headache — Feeling: Poor · Be unable to work
    Free text: Bells Palsy & slight Headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-11
    Survey response — day 14, dose 1
    MedDRA: Bell's palsy, Facial paralysis, Headache, Office visit — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Bells Palsy. Drooping right side of face. Headache on right side · Healthcare visit (other): Drs office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-11
    Report sent to call center — day 14, dose 1
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-03-20
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-03-25
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-04-05
    Dose 2 — Moderna
  14. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-16

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna
22021-04-05Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): I wont bad headache on the right side of my head and also Im having trouble closing my right eye also

2021-02-28

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.

2021-03-01

Systemic reaction (other): Bells Palsey on right side of face.

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): I currently have bells palsy on right side of face,eye,head aches.

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): Bells Palsy & slight Headaches

Release 5 — day 14, dose 1

2021-03-11

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDBell's palsy ✓ ✓ ✓
SDFacial paralysis ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SROBell's palsy ✓ ✓ ✓
SROEye movement disorder ✓ ✓ ✓
SROFacial paralysis ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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