873-24896-33625
2 vaccinations
17 coded responses
26 check-ins
17 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 201 / VA
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-06
Dose 1 — Janssen/Johnson & Johnson
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2021-03-07
Registered in v-safe
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Eye pain, Rhinorrhoea, Vision blurred — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Stinging eyes, blurry vision, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Eye irritation, Nasal congestion — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Burning eyes, nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Eye irritation, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Burning eyes, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Eye irritation, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Burning eyes, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Eye irritation, Rhinorrhoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Burning eyes, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — day 7, dose 1MedDRA: Eye irritation — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Burning eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — day 14, dose 1MedDRA: Abdominal discomfort, Eye irritation, Fatigue, Headache, Injection site pain, Injection site swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Eyes are still irritated. Have an upset stomach after every meal or snack. Arm is still sore & swollen at injection site. Headache is still more painful than usual, and overly fatigued.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-03
- 2021-04-10
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2021-04-17
Survey response — day 42, single doseMedDRA: Cough, Fatigue, Nasal discomfort, Oropharyngeal pain, Rhinorrhoea, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Sinus congestion and burning, runny nose, dry cough, exhaustion, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Report sent to call center — day 42, single doseBe unable to do your normal daily activities1 call case(s)
- 2021-06-05
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2021-09-04
Survey response — 6 months, dose 1MedDRA: Glaucoma, Ocular discomfort, Pre-existing disease, Vision blurred — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Elevated eye pressure, cloudy eye vision, worsening glaucoma.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-05
Dose 2 — Moderna
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2021-11-07
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Eye irritation, Lacrimation increased — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Burning and watering eyes. Dizziness.MedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Eye irritation, Lacrimation increased — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Burning, watering eyes. Dizziness.MedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — days 1–6 daily, dose 2MedDRA: Eye irritation, Lacrimation increased — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Burning, watering eyes.MedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Dizziness.MedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-11-19
- 2021-11-26
- 2021-12-05
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2021-12-10
Survey response — day 35, dose 2MedDRA: Diarrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: DiarrheaMedDRA releases: 2024-11 · check-in free text available
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2021-12-19
Survey response — day 42, dose 2MedDRA: Diarrhoea, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Diarrhea. · Healthcare visit (other): Primary care doctor visit.MedDRA releases: 2024-11 · check-in free text available
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2021-12-19
Report sent to call center — day 42, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-12-20
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2022-02-04
Survey response — 3 months, dose 2MedDRA: Eye irritation, Lacrimation increased, Vision blurred — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tearing, burning, hazy right eye.MedDRA releases: 2024-11 · check-in free text available
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2022-05-08
Survey response — 6 months, dose 2MedDRA: Asthma, Head discomfort, Headache, Ocular discomfort, Vision blurred — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Increased eye pressure, blurry/cloudy vision, increased pain in pressure headache, more asthma episodes.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Janssen/Johnson & Johnson | |
| 2 | 2021-11-05 | Moderna | No |
Call center
2 call center cases
1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Stinging eyes, blurry vision, runny nose
Systemic reaction (other): Burning eyes, nasal congestion
Systemic reaction (other): Burning eyes, runny nose
Systemic reaction (other): Burning eyes, runny nose
Systemic reaction (other): Burning eyes, runny nose
Release 5 — day 7, dose 1
Systemic reaction (other): Burning eyes
Release 6 — day 14, dose 1
Symptoms: Eyes are still irritated. Have an upset stomach after every meal or snack. Arm is still sore & swollen at injection site. Headache is still more painful than usual, and overly fatigued.
Release 7 — day 42, single dose
Symptoms: Sinus congestion and burning, runny nose, dry cough, exhaustion, sore throat
Release 9 — 6 months, dose 1
Symptoms: Elevated eye pressure, cloudy eye vision, worsening glaucoma.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Burning and watering eyes. Dizziness.
Systemic reaction (other): Burning, watering eyes. Dizziness.
Systemic reaction (other): Burning, watering eyes.
Systemic reaction (other): Dizziness.
Release 10 — day 35, dose 2
Symptoms: Diarrhea
Release 10 — day 42, dose 2
Release 11 — 3 months, dose 2
Symptoms: Tearing, burning, hazy right eye.
Release 11 — 6 months, dose 2
Symptoms: Increased eye pressure, blurry/cloudy vision, increased pain in pressure headache, more asthma episodes.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Eye irritation | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Glaucoma | ✓ | · | ✓ |
| SD | Head discomfort | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nasal discomfort | ✓ | ✓ | ✓ |
| SD | Ocular discomfort | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Eye irritation | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release