22X-44223-22630

3 vaccinations 15 coded responses 19 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 594 / MT
Registered: 2021-01-13

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-12
Dose 1 — Moderna
2021-01-13
Registered in v-safe
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness postural — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness upon standing up from any position

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Good · Site: Pain, Swelling · Joint pains

Free text: Blurry eye sight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Good

Free text: Blurry vision continues....moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — day 7, dose 1
MedDRA: Vision blurred — Feeling: Good · Site: Itching · Diarrhea

Free text: Blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Survey response — day 21, dose 1
MedDRA: Diarrhoea, Myalgia, Nausea, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued blurry vision. Nausea, diarrhea, muscle aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Dose 2 — Moderna
2021-02-09
Survey response — day 0, dose 2
MedDRA: Disorientation, Dizziness, Vision blurred — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Free text: Dizziness, disoriented, blurry vusion increased

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vision blurred — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Blurred vision, dizzibess

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Vision blurred — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Vision blurred — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Blurred vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Vision blurred — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have had blurry vision since the 1st shot and it increased after the 2nd shot and has not returned to previous function after both shots.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Vision blurred — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Blurred vision since the 1st shot, increased after tge 2nd shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 7, dose 2
MedDRA: Office visit, Vision blurred — Feeling: Good · Site: Pain · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Still having problems with blurry vision related to the 2 shot vaccinations. · Healthcare visit (other): Scheduled an eye appointment for blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 21, dose 2
MedDRA: Office visit, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Blurry vision has not restored and some days is quite pronounced · Healthcare visit (other): Optometrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Call 1 — Left Voicemail
2021-06-07
Call 1 — Left Voicemail
2021-08-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2022-02-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna
3	2021-10-27	Moderna	No

Call center

3 call center cases

2 unsuccessful · 1 priority 2/3 (triaged and no follow up)

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Dizziness upon standing up from any position

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Blurry vision

2021-01-16

Systemic reaction (other): Blurry vision

2021-01-17

Systemic reaction (other): Blurry eye sight

2021-01-18

Systemic reaction (other): Blurry vision continues....moderate

Release 2 — day 7, dose 1

2021-01-19

Systemic reaction (other): Blurry vision

Release 3 — day 21, dose 1

2021-02-02

Symptoms: Continued blurry vision. Nausea, diarrhea, muscle aches

Release 3 — day 0, dose 2

2021-02-09

Systemic reaction (other): Dizziness, disoriented, blurry vusion increased

Release 3 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Blurred vision, dizzibess

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Blurry vision

2021-02-12

Systemic reaction (other): Blurred vision

2021-02-13

Systemic reaction (other): I have had blurry vision since the 1st shot and it increased after the 2nd shot and has not returned to previous function after both shots.

2021-02-14

Systemic reaction (other): Blurred vision since the 1st shot, increased after tge 2nd shot

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Still having problems with blurry vision related to the 2 shot vaccinations.

Healthcare visit (other): Scheduled an eye appointment for blurry vision

Release 5 — day 21, dose 2

2021-03-03

Symptoms: Blurry vision has not restored and some days is quite pronounced

Healthcare visit (other): Optometrist

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	✓	✓	✓
HCVO	Vision blurred	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Disorientation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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