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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

  1. 2021-03-06
    Dose 1 — Janssen/Johnson & Johnson
  2. 2021-03-07
    Registered in v-safe
  3. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Stinging eyes, blurry vision, runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Burning eyes, nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Burning eyes, runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Burning eyes, runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Burning eyes, runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-13
    Survey response — day 7, dose 1
    MedDRA: 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 activities
    Free text: Burning eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-20
    Survey response — day 14, dose 1
    MedDRA: Abdominal discomfort, Eye irritation, Fatigue, Headache, Injection site pain, Injection site swelling — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  10. 2021-03-27
    Health check-in — day 21, single dose
    Feeling: Fair
    Adult check-in
  11. 2021-04-03
    Health check-in — day 28, single dose
    Feeling: Fair
    Adult check-in
  12. 2021-04-10
    Health check-in — day 35, single dose
    Feeling: Fair
    Adult check-in
  13. 2021-04-17
    Survey response — day 42, single dose
    MedDRA: Cough, Fatigue, Nasal discomfort, Oropharyngeal pain, Rhinorrhoea, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Sinus congestion and burning, runny nose, dry cough, exhaustion, sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-17
    Report sent to call center — day 42, single dose
    Be unable to do your normal daily activities
    1 call case(s)
  15. 2021-06-05
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  16. 2021-09-04
    Survey response — 6 months, dose 1
    MedDRA: Glaucoma, Ocular discomfort, Pre-existing disease, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Elevated eye pressure, cloudy eye vision, worsening glaucoma.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-11-05
    Dose 2 — Moderna
  18. 2021-11-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Burning and watering eyes. Dizziness.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-11-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Burning, watering eyes. Dizziness.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-11-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Burning, watering eyes.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Dizziness.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-12
    Health check-in — day 7, dose 2
    Feeling: 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 activities
    Adult check-in
  23. 2021-11-19
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-11-26
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-12-05
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-12-10
    Survey response — day 35, dose 2
    MedDRA: Diarrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Diarrhea
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-12-19
    Survey response — day 42, dose 2
    MedDRA: 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 professional
    Free text: Symptoms: Diarrhea. · Healthcare visit (other): Primary care doctor visit.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-12-19
    Report sent to call center — day 42, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  29. 2021-12-20
  30. 2022-02-04
    Survey response — 3 months, dose 2
    MedDRA: Eye irritation, Lacrimation increased, Vision blurred — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Tearing, burning, hazy right eye.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-05-08
    Survey response — 6 months, dose 2
    MedDRA: Asthma, Head discomfort, Headache, Ocular discomfort, Vision blurred — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Increased eye pressure, blurry/cloudy vision, increased pain in pressure headache, more asthma episodes.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-11-05
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Janssen/Johnson & Johnson
22021-11-05Moderna No

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Stinging eyes, blurry vision, runny nose

2021-03-08

Systemic reaction (other): Burning eyes, nasal congestion

2021-03-09

Systemic reaction (other): Burning eyes, runny nose

2021-03-10

Systemic reaction (other): Burning eyes, runny nose

2021-03-11

Systemic reaction (other): Burning eyes, runny nose

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): Burning eyes

Release 6 — day 14, dose 1

2021-03-20

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

2021-04-17

Symptoms: Sinus congestion and burning, runny nose, dry cough, exhaustion, sore throat

Release 9 — 6 months, dose 1

2021-09-04

Symptoms: Elevated eye pressure, cloudy eye vision, worsening glaucoma.

Release 10 — days 1–6 daily, dose 2

2021-11-07

Systemic reaction (other): Burning and watering eyes. Dizziness.

2021-11-08

Systemic reaction (other): Burning, watering eyes. Dizziness.

2021-11-09

Systemic reaction (other): Burning, watering eyes.

2021-11-11

Systemic reaction (other): Dizziness.

Release 10 — day 35, dose 2

2021-12-10

Symptoms: Diarrhea

Release 10 — day 42, dose 2

2021-12-19

Symptoms: Diarrhea.
Healthcare visit (other): Primary care doctor visit.

Release 11 — 3 months, dose 2

2022-02-04

Symptoms: Tearing, burning, hazy right eye.

Release 11 — 6 months, dose 2

2022-05-08

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAbdominal discomfort ✓ ✓ ✓
SDAsthma · · ✓
SDCough ✓ ✓ ✓
SDDiarrhoea · · ✓
SDEye irritation ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGlaucoma ✓ · ✓
SDHead discomfort · · ✓
SDHeadache ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDLacrimation increased · · ✓
SDNasal discomfort ✓ ✓ ✓
SDOcular discomfort ✓ · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SDRhinorrhoea ✓ ✓ ✓
SDSinus congestion ✓ ✓ ✓
SDVision blurred ✓ · ✓
SRODizziness · · ✓
SROEye irritation ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROLacrimation increased · · ✓
SRONasal congestion ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

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