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8GN-25594-99384

2 vaccinations 1 coded response 3 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
767 / TX
Registered
2021-06-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-01
    Dose 1 — Moderna
  2. 2021-06-09
    Dose 2 — Moderna
  3. 2021-06-10
    Registered in v-safe
  4. 2021-06-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vision blurred — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: Blurred vision
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-07-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-01Moderna
22021-06-09Moderna

Free text

Release 9 — days 1–6 daily, dose 2

2021-06-10

Systemic reaction (other): Blurred vision

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
SROVision blurred ✓ ✓ ✓

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

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