YSH-10452-17703
4 vaccinations
10 coded responses
46 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 077 / NJ
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
-
2021-03-24
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-25
- 2021-03-26
-
2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
-
2021-04-25
Dose 2 — Moderna
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Muscle twitching — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Eye twitchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Blepharospasm — Feeling: Fair · Fatigue or tirednessFree text: Eye twitchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Blepharospasm — Feeling: Fair · Fatigue or tirednessFree text: Eye twitchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Blepharospasm — Feeling: GoodFree text: Eye twitchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Blepharospasm — Feeling: GoodFree text: Eye twitchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Blepharospasm — Feeling: Fair · Fatigue or tirednessFree text: Eye twitchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — day 7, dose 2MedDRA: Blepharospasm, Muscle twitching — Feeling: Fair · Fatigue or tirednessFree text: Eye twitchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-05-30
- 2021-06-06
- 2021-07-25
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2021-10-24
Survey response — 6 months, dose 2MedDRA: Lipoma, Neck mass, Neuralgia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Lump near collarbone at base of neck and nerve pain behind ear. Primary care doc diagnosis was lipoma and referred to ENT specialist · Healthcare visit (other): In person visitMedDRA releases: 2024-11 · check-in free text available
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2021-10-24
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-28
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2021-12-16
Dose 3 — Pfizer-BioNTech
- 2021-12-16
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2021-12-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-18
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2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Chest congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-20
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-01-27
- 2022-03-17
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2022-05-06
Dose 4 — Pfizer-BioNTech
- 2022-05-27
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2022-06-03
Survey response — day 28, dose 4MedDRA: COVID-19, Chest pain, Heart rate decreased, SARS-CoV-2 test positive — Feeling: FairFree text: Was diagnosed with covid 9 days ago and started Paxlovid. Only took 4 doses then stopped because of chest pain and low heart rate. Felt better for 2 days and relapsed 4 days ago. Still testing positive for covid todayMedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
- 2022-06-17
- 2022-08-05
- 2022-11-06
- 2023-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-25 | Moderna | |
| 3 | 2021-12-16 | Pfizer-BioNTech | No |
| 4 | 2022-05-06 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-24 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Eye twitching
Systemic reaction (other): Eye twitching
Systemic reaction (other): Eye twitch
Systemic reaction (other): Eye twitch
Systemic reaction (other): Eye twitch
Systemic reaction (other): Eye twitch
Release 8 — day 7, dose 2
Systemic reaction (other): Eye twitch
Release 10 — 6 months, dose 2
Symptoms: Lump near collarbone at base of neck and nerve pain behind ear. Primary care doc diagnosis was lipoma and referred to ENT specialist
Healthcare visit (other): In person visit
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Chest congestion
Release 11 — day 28, dose 4
Symptoms: Was diagnosed with covid 9 days ago and started Paxlovid. Only took 4 doses then stopped because of chest pain and low heart rate. Felt better for 2 days and relapsed 4 days ago. Still testing positive for covid today
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Heart rate decreased | · | · | ✓ |
| SD | Lipoma | · | · | ✓ |
| SD | Neck mass | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Blepharospasm | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release