D4E-13105-14752
2 vaccinations
6 coded responses
19 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 324 / FL
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Dose 1 — Moderna
-
2021-04-13
Registered in v-safe
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Vision blurred — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Brief bout of blurred vision and lightheadedness about 15 minutes after injection. These symptoms later 5-10 minsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Injection site warmth — Feeling: Good · Site: PainFree text: Hot sensation near injection site after banging it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-17
- 2021-04-26
- 2021-05-05
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2021-05-10
Dose 2 — Moderna
- 2021-05-10
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2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Injection site pain, Insomnia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Lightheadedness, burning at injection site, insomnia (possibly related to pain in arm)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog, Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Lightheadedness, brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: LightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-06-02
- 2021-06-21
- 2021-08-11
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2022-05-10
Survey response — 12 months, dose 2MedDRA: Blepharospasm, Exposure to SARS-CoV-2, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Persistent eye twitch. It started after my husband got covid again (he is also vaxxed and boosted) but i tested covid negative. I have given up caffeine and alcohol and tried to get more rest but my eye has been twitching intermittently for a month.MedDRA releases: 2024-11 · check-in free text available
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2022-05-10
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)
- 2022-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Moderna | |
| 2 | 2021-05-10 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Brief bout of blurred vision and lightheadedness about 15 minutes after injection. These symptoms later 5-10 mins
Systemic reaction (other): Hot sensation near injection site after banging it.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Lightheadedness, burning at injection site, insomnia (possibly related to pain in arm)
Systemic reaction (other): Lightheadedness, brain fog
Systemic reaction (other): Lightheadedness
Release 11 — 12 months, dose 2
Symptoms: Persistent eye twitch. It started after my husband got covid again (he is also vaxxed and boosted) but i tested covid negative. I have given up caffeine and alcohol and tried to get more rest but my eye has been twitching intermittently for a month. cut off by CDC
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 |
|---|---|---|---|---|
| SD | Blepharospasm | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release