6NC-30620-76492
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 461 / IN
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Moderna
- 2021-03-22
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Eye swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: My eye was swollen this morning when I woke up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Eyelid margin crusting, Swelling of eyelid — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: My eye lids were still a little swollen and crusty this morning but much better than yesterday morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Eye disorder — Feeling: Good · Site: RednessFree text: Eyes were much better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-07
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2021-04-12
Survey response — day 21, dose 1MedDRA: Headache, Self-medication — Feeling: GoodFree text: Saturday I had a headache I couldnt get rid of all day. I took 2 Tylenol then 2 more Tylenol 6 hours later. Then it was gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Dose 2 — Moderna
- 2021-04-28
-
2021-05-06
Survey response — day 14, dose 2MedDRA: Headache, Pain, Pyrexia, Self-medication — Feeling: GoodFree text: The day after the vaccination I was running a fever, aches and had a headache for about 24 hours. Tylenol took care of it. I took 4 doses of Tylenol.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-07-21
- 2021-10-20
- 2022-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): My eye was swollen this morning when I woke up.
Systemic reaction (other): My eye lids were still a little swollen and crusty this morning but much better than yesterday morning.
Systemic reaction (other): Eyes were much better today.
Release 7 — day 21, dose 1
Symptoms: Saturday I had a headache I couldnt get rid of all day. I took 2 Tylenol then 2 more Tylenol 6 hours later. Then it was gone.
Release 8 — day 14, dose 2
Symptoms: The day after the vaccination I was running a fever, aches and had a headache for about 24 hours. Tylenol took care of it. I took 4 doses of Tylenol.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Eye disorder | ✓ | ✓ | ✓ |
| SRO | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Eyelid margin crusting | ✓ | · | ✓ |
| SRO | Swelling of eyelid | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release