ZLW-13415-21297
2 vaccinations
4 coded responses
11 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 017 / MA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Facial discomfort, Malaise, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: A precondition of mine is Bells Palsy as a complication from Lyme Disease. Yesterday I felt tightness in the right side of my face throughout the day, which was the day after I received the vaccine. Typicaly my eye droops and fave gets tight when my immune system is compromised, ie: I am sick. The symptom is better today, but it was disconcerting last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-21
-
2021-02-08
Dose 2 — Moderna
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Condition aggravated, Fatigue, Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling · Be unable to do your normal daily activitiesFree text: I had chills and fatigue 24 hours after second dose. With a previous history of Bells Palsy due to Lyme disease, I again experienced Bells Palsy issues. My affected eye is more slanted than prior to the shot, and my face smile) is stiffer and more flat since the shot. After the first dose, I had pai on my face in Bells Palsy side of face.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness · Be unable to do your normal daily activitiesFree text: Dizziness twice last night, five days post vaccine second dose. Continue to have concerns of Bells Palsy, (initially diagnosed in July 2000. I had aching pain behind ear onBells Palsy damaged side of face.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — day 7, dose 2MedDRA: Facial pain — Feeling: FairFree text: Some front face pain on the side where I have a history of Bells Palsy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-01
- 2021-03-18
- 2021-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-08 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): A precondition of mine is Bells Palsy as a complication from Lyme Disease. Yesterday I felt tightness in the right side of my face throughout the day, which was the day after I received the vaccine. Typicaly my eye droops and fave gets tight when my immune system is compromised, ie: I am sick. The symptom is better today, but it was disconcerting last night.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I had chills and fatigue 24 hours after second dose. With a previous history of Bells Palsy due to Lyme disease, I again experienced Bells Palsy issues. My affected eye is more slanted than prior to the shot, and my face smile) is stiffer and more flat since the shot. After the first dose, I had pai on my face in Bells Palsy side of face.
Systemic reaction (other): Dizziness twice last night, five days post vaccine second dose. Continue to have concerns of Bells Palsy, (initially diagnosed in July 2000. I had aching pain behind ear onBells Palsy damaged side of face.
Release 4 — day 7, dose 2
Systemic reaction (other): Some front face pain on the side where I have a history of Bells Palsy.
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 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Facial discomfort | ✓ | ✓ | ✓ |
| SRO | Facial pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release