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6XC-29756-18363

2 vaccinations 9 coded responses 11 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
431 / OH
Registered
2021-04-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-04-22
    Dose 2 — Moderna
  3. 2021-04-23
    Registered in v-safe
  4. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Eye pain, eye is sore to the touch
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort, Eye pain, Ocular discomfort, Tenderness — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Eye pain, pressure in eyes and painful to touch, chest tightness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye pain, Tenderness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Eye pain. Painful to the touch
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperhidrosis — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sweating
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-05-02
    Survey response — day 7, dose 2
    MedDRA: Eye pain — Feeling: Poor · Fever · Be unable to do your normal daily activities
    Free text: Eye pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-08
    Survey response — day 14, dose 2
    MedDRA: Injection site hypoaesthesia, Vaccination site pain — Feeling: Fair
    Free text: Pain/numbness in arm at vaccine site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-05
    Survey response — day 42, dose 2
    MedDRA: Chest pain, Joint stiffness, Menstruation delayed, Swelling, Weight increased — Feeling: Good · Be unable to do your normal daily activities
    Free text: Chest pain/weight gain/stiff joints/body swelling/late period
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-07-22
    Survey response — 3 months, dose 2
    MedDRA: Gait disturbance, Injection site pain, Pain, Paraesthesia, Weight increased — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Muscle shoulder pain at shot location on arm, extreme weight gain like prolly 15 pounds since March if not more pain pain while walking in my feet like tingling
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-10-25
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  14. 2022-04-22
    Survey response — 12 months, dose 2
    MedDRA: Abdominal pain upper, Eye pain, Heavy menstrual bleeding, Hypertension, Menstrual clots, Musculoskeletal stiffness, Pain in extremity, Weight increased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Weight gain, high blood pressure, feet pain, stiff neck, pain in eyes, heavy heavy periods and blood clots, stomach pains and cramping
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-22Moderna

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Eye pain, eye is sore to the touch

2021-04-25

Systemic reaction (other): Eye pain, pressure in eyes and painful to touch, chest tightness

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Eye pain. Painful to the touch

2021-04-27

Systemic reaction (other): Sweating

Release 8 — day 7, dose 2

2021-05-02

Systemic reaction (other): Eye pain

Release 8 — day 14, dose 2

2021-05-08

Symptoms: Pain/numbness in arm at vaccine site

Release 8 — day 42, dose 2

2021-06-05

Symptoms: Chest pain/weight gain/stiff joints/body swelling/late period

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Muscle shoulder pain at shot location on arm, extreme weight gain like prolly 15 pounds since March if not more pain pain while walking in my feet like tingling

Release 11 — 12 months, dose 2

2022-04-22

Symptoms: Weight gain, high blood pressure, feet pain, stiff neck, pain in eyes, heavy heavy periods and blood clots, stomach pains and cramping

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
SDAbdominal pain upper · · ✓
SDChest pain ✓ ✓ ✓
SDEye pain · · ✓
SDGait disturbance · · ✓
SDHeavy menstrual bleeding · · ✓
SDHypertension · · ✓
SDInjection site hypoaesthesia ✓ ✓ ✓
SDInjection site pain · · ✓
SDJoint stiffness ✓ ✓ ✓
SDMenstrual clots · · ✓
SDMenstruation delayed ✓ ✓ ✓
SDMusculoskeletal stiffness · · ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDParaesthesia · · ✓
SDSwelling ✓ ✓ ✓
SDVaccination site pain ✓ ✓ ✓
SDWeight increased ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROOcular discomfort ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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