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XW6-15371-06848

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
028 / RI
Registered
2021-02-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-05
    Dose 1 — Moderna
  2. 2021-02-13
    Registered in v-safe
  3. 2021-02-13
    Health check-in — 7 day, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-02-21
    Health check-in — 14 day, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-05
    Dose 2 — Moderna
  6. 2021-03-05
    Health check-in — 0 day, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Bone pain, Musculoskeletal pain, Pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  8. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  9. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye infection — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  10. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Conjunctivitis, Periorbital swelling — Feeling: Good · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  11. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Conjunctivitis — Feeling: Good · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  12. 2021-03-13
    Survey response — 7 day, dose 2
    MedDRA: Eye swelling — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  13. 2021-03-19
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-26
    Survey response — 21 day, dose 2
    MedDRA: Eye infection, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  15. 2021-03-26
    Report sent to call center — 21 day, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-04-09
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-16
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-06
    Health check-in — 3 month, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-09-03
    Health check-in — 6 month, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-01-14
  21. 2022-03-05
    Health check-in — 12 month, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna
22021-03-05Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-03-26 Unsuccessful

Free text

Release 5

Systemic reaction (other): From hours 10-20 on day one after vaccine, I experienced intense pain in certain bones, in particular right shoulder blade. Pain rivaled pain of broken ribs, which I experienced four years ago. Fortunately, this pain subsided after 24 hours or so. I still have significant body aches.

Systemic reaction (other): Recovered very quickly from severe effects yesterday.

Systemic reaction (other): Slight infection in right eye. Hoping this goes away on its own (without antibiotics). Haven't contacted my Doctor yet.

Systemic reaction (other): Puffy right eye, conjunctivitis continues. From what I have read online, I believe this could be a side effect of the vaccine.

Systemic reaction (other): Mild conjunctivitis continues.

Systemic reaction (other): Swelling of right eye continues.

Release 6

Symptoms: Eye infections persisted, so I contacted my doctor on March 24. He prescribed antibiotics (both topical for eyes and systemic) and symptoms have lessened considerably. I was also experiencing tinnitus in left ear, but that has subsided too.

Free-text releases are not linked to a specific 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
SDEye infection ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROBone pain ✓ ✓ ✓
SROConjunctivitis ✓ ✓ ✓
SROEye infection ✓ ✓ ✓
SROEye swelling ✓ ✓ ✓
SROMusculoskeletal pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPeriorbital swelling ✓ ✓ ✓

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