6UV-26012-20503
2 vaccinations
6 coded responses
15 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 019 / MA
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Dose 1 — Moderna
-
2021-03-25
Dose 2 — Moderna
-
2021-03-26
Registered in v-safe
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2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-27
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Eye pain — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Specifically, I have been having continued ocular soreness and heaviness in my eyelids that hasnt gone away since getting the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Asthenopia, Eye pain, Self-medication — Feeling: Good · Muscle or body achesFree text: Still experiencing ocular soreness and eyelid/upper eye heaviness that wont go away with ibuprofen useMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Asthenopia, Periorbital pain — Feeling: Good · Muscle or body achesFree text: Soreness and heaviness in one eye socketMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 7, dose 2MedDRA: Eye pain — Feeling: Good · Muscle or body achesFree text: Still experiencing eye soreness in one eyeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
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2021-06-24
Survey response — 3 months, dose 2MedDRA: Office visit, Rash, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Small bumpy rash that was itchy appeared in and around armpit of arm that I got the shot in, and spread to/appeared in other places. Caused prickly/crawling feeling over entire body periodically · Healthcare visit (other): Primary care office visit first and they treated empirically because not sure what cause was, so when rash continued to get worse, went to dermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-24
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-30
- 2021-07-06
- 2021-09-23
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2022-03-25
Survey response — 12 months, dose 2MedDRA: Rash pruritic, Reaction to previous exposure to any vaccine — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Underarm rash that is bumpy and itchy which comes back in the days/weeks after Covid shots but has persisted since getting first shot last year. Have talked to others who have experienced the same ongoing rash, so please evaluate this side effectMedDRA releases: 2024-11 · check-in free text available
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2022-03-25
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Specifically, I have been having continued ocular soreness and heaviness in my eyelids that hasnt gone away since getting the shot
Systemic reaction (other): Still experiencing ocular soreness and eyelid/upper eye heaviness that wont go away with ibuprofen use
Systemic reaction (other): Soreness and heaviness in one eye socket
Release 6 — day 7, dose 2
Systemic reaction (other): Still experiencing eye soreness in one eye
Release 9 — 3 months, dose 2
Symptoms: Small bumpy rash that was itchy appeared in and around armpit of arm that I got the shot in, and spread to/appeared in other places. Caused prickly/crawling feeling over entire body periodically
Healthcare visit (other): Primary care office visit first and they treated empirically because not sure what cause was, so when rash continued to get worse, went to dermatologist
Release 11 — 12 months, dose 2
Symptoms: Underarm rash that is bumpy and itchy which comes back in the days/weeks after Covid shots but has persisted since getting first shot last year. Have talked to others who have experienced the same ongoing rash, so please evaluate this side effect
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 | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Asthenopia | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Periorbital pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release