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F7Y-21391-34255

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
064 / CT
Registered
2021-01-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Dose 1 — Moderna
  2. 2021-01-07
    Registered in v-safe
  3. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  4. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-03
    Dose 2 — Moderna
  7. 2021-02-03
    Survey response — day 0, dose 2
    MedDRA: Dizziness, Pain in jaw — Feeling: Fair · Headache
    Free text: Dizziness and jaw pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Swelling face, Vision blurred — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Facial swelling, blurred vision
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vision blurred — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Blurred vision
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vision blurred — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Blurred vision
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  12. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fatigue or tiredness
    Adult check-in
  14. 2021-02-10
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · Headache, Joint pains
    Adult check-in
  15. 2021-02-17
    Survey response — day 14, dose 2
    MedDRA: Hypersensitivity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I have been having new allergic rections to foods and environment. I am also breaking out in acne (abnormak for me). My allergist believes the reaction i had to the vaccine cause new allergies to what was in my system.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-26
    Survey response — day 21, dose 2
    MedDRA: Migraine — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Migraines
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-05-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-02-05
    Survey response — 12 months, dose 2
    MedDRA: Exposure to SARS-CoV-2, Malaise — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Omicron symptoms shortly after booster and being exposed
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-02-05
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  24. 2022-02-10

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-03Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — day 0, dose 2

2021-02-03

Systemic reaction (other): Dizziness and jaw pain

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Facial swelling, blurred vision

2021-02-05

Systemic reaction (other): Blurred vision

2021-02-06

Systemic reaction (other): Blurred vision

Release 4 — day 14, dose 2

2021-02-17

Symptoms: I have been having new allergic rections to foods and environment. I am also breaking out in acne (abnormak for me). My allergist believes the reaction i had to the vaccine cause new allergies to what was in my system.

Release 4 — day 21, dose 2

2021-02-26

Symptoms: Migraines

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: Omicron symptoms shortly after booster and being exposed

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
SDExposure to SARS-CoV-2 · · ✓
SDHypersensitivity ✓ ✓ ✓
SDMalaise · · ✓
SDMigraine ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SROSwelling face ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

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

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