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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

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Facial discomfort, Malaise, Pre-existing disease — Feeling: Good · Fatigue or tiredness
    Free 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
  5. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-08
    Dose 2 — Moderna
  8. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Condition aggravated, Fatigue, Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling · Be unable to do your normal daily activities
    Free 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
  9. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness · Be unable to do your normal daily activities
    Free 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
  10. 2021-02-15
    Survey response — day 7, dose 2
    MedDRA: Facial pain — Feeling: Fair
    Free 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
  11. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-03-01
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-08Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

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

2021-02-12

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.

2021-02-14

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

2021-02-15

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

FieldPreferred term2021-092023-042024-11
SROChills ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFacial discomfort ✓ ✓ ✓
SROFacial pain ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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