M5J-26896-14080
4 vaccinations
5 coded responses
20 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 037 / NH
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-27
Dose 2 — Moderna
-
2021-01-30
Registered in v-safe
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain, Myalgia — Feeling: GoodFree text: Right eye muscle pain (optic neuritis?)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain, Photophobia — Feeling: Good · HeadacheFree text: Ongoing Right eye muscle soreness/light sensitivity (optic neuritis?)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
- 2021-07-28
-
2021-11-02
Dose 3 — Moderna
-
2022-01-29
Survey response — 12 months, dose 2MedDRA: Oedema peripheral, Pruritus — Feeling: GoodFree text: Swollen arm pit (same side as booster) Severe itching to back, back of head, neck, hands, groin and occasional short-term hive, for 10 days beginning 10 days after boosterMedDRA releases: 2024-11 · check-in free text available
- 2022-02-01
- 2022-05-03
-
2022-09-30
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-02
- 2022-11-02
- 2022-11-04
- 2022-11-11
-
2022-12-30
Survey response — 3 months, dose 4MedDRA: Influenza, Influenza like illness, Pain, Pyrexia, Respiratory tract congestion — Feeling: FairFree text: Flu-like (aching, congestion, mild fever). 99% sure it was actually the fluMedDRA releases: 2024-11 · check-in free text available
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-09-30 | Pfizer-BioNTech | Flu |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Right eye muscle pain (optic neuritis?)
Systemic reaction (other): Ongoing Right eye muscle soreness/light sensitivity (optic neuritis?)
Release 11 — 12 months, dose 2
Symptoms: Swollen arm pit (same side as booster) Severe itching to back, back of head, neck, hands, groin and occasional short-term hive, for 10 days beginning 10 days after booster
Release 12 — 3 months, dose 4
Symptoms: Flu-like (aching, congestion, mild fever). 99% sure it was actually the flu
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 | Influenza | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release