2B9-16065-68769

2 vaccinations 5 coded responses 16 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 948 / CA
Registered: 2021-03-23

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

2021-02-23
Dose 1 — Moderna
2021-03-23
Registered in v-safe
2021-03-23
Dose 2 — Moderna
2021-03-23
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: I just had the injection at 3:30pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · 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

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — day 42, dose 2
MedDRA: Brain fog, Disturbance in attention, Herpes simplex, Nerve injury, Vestibular neuronitis — Feeling: Good

Free text: I dont think this is related, but I had nerve symptoms, typically triggered by herpes simplex virus when it leads to vestibular neuritis - nerve tenderness in nostril but this time, I felt very foggy, and difficulty focusing and tingling in hands.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Survey response — 3 months, dose 2
MedDRA: Herpes simplex, Medical counselling, Pre-existing disease, Uveitis — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Probably unrelated, I had a herpes simplex flair, that subsided in the main site but days later, I had a reaction in my eye. Diagnosed as uveitis caused by an immune reaction to fight the herpes simplex virus. After 3 week treatment, it has resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Call 1 — Left Voicemail
2021-09-21
Survey response — 6 months, dose 2
MedDRA: Herpes simplex, Pre-existing disease, Vestibular neuronitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Unrelated to the vaccine. But repeated outbreaks of the herpes simplex virus - affecting my eye in June and vestibular neuritis in Sept.

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-22
Call 1 — Left Voicemail
2022-03-23
Survey response — 12 months, dose 2
MedDRA: Herpes simplex, Uveitis, Vestibular neuronitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Unsure if I reported this but in June I had prolonged case of uveitis suspected to be linked to the HSV 1 and in late Aug, I developed vestibular neuritis. I was unable to start treatment until a month later and still have symptoms today.

MedDRA releases: 2024-11 · check-in free text available
2022-03-23
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-24
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Moderna
2	2021-03-23	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — day 0, dose 2

2021-03-23

Systemic reaction (other): I just had the injection at 3:30pm

Release 8 — day 42, dose 2

2021-05-04

Symptoms: I dont think this is related, but I had nerve symptoms, typically triggered by herpes simplex virus when it leads to vestibular neuritis - nerve tenderness in nostril but this time, I felt very foggy, and difficulty focusing and tingling in hands.

Release 9 — 3 months, dose 2

2021-06-23

Symptoms: Probably unrelated, I had a herpes simplex flair, that subsided in the main site but days later, I had a reaction in my eye. Diagnosed as uveitis caused by an immune reaction to fight the herpes simplex virus. After 3 week treatment, it has resolved. cut off by CDC

Release 9 — 6 months, dose 2

2021-09-21

Symptoms: Unrelated to the vaccine. But repeated outbreaks of the herpes simplex virus - affecting my eye in June and vestibular neuritis in Sept.

Release 11 — 12 months, dose 2

2022-03-23

Symptoms: Unsure if I reported this but in June I had prolonged case of uveitis suspected to be linked to the HSV 1 and in late Aug, I developed vestibular neuritis. I was unable to start treatment until a month later and still have symptoms 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
SD	Brain fog	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Herpes simplex	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Nerve injury	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Uveitis	✓	✓	✓
SD	Vestibular neuronitis	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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