2SW-27243-35436
4 vaccinations
9 coded responses
34 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 958 / CA
- Registered
- 2020-12-27
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-26
Dose 1 — Moderna
-
2020-12-27
Registered in v-safe
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2020-12-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2020-12-29
- 2020-12-30
- 2021-01-01
-
2021-01-02
Survey response — day 7, dose 1MedDRA: Dry eye — Feeling: Good · Site: PainFree text: Not sure if it related, but noticed dry eyes x 3 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-16
-
2021-01-23
Dose 2 — Moderna
- 2021-01-30
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
-
2021-03-06
Survey response — day 42, dose 2MedDRA: Eye pain — Feeling: GoodFree text: Orbital headache that lasted a dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-07-25
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2021-10-27
Dose 3 — Moderna
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: InsomniaMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Eye swelling, Headache — Feeling: FairFree text: Eye swelling where I had a headacheMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Ear pain — Feeling: Good · Muscle or body achesFree text: Slight right ear painMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Eye pain — Feeling: Fair · HeadacheFree text: Bilateral Eye painMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Eye pain, Headache — Feeling: Fair · HeadacheFree text: Headache in both eyesMedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — day 7, dose 3MedDRA: Eye pain, Headache, Self-medication — Feeling: Fair · HeadacheFree text: Headache in bilateral eyes. Continue to have to use Tylenol and IbuprofenMedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
- 2021-11-17
- 2021-11-24
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2021-12-01
Survey response — day 35, dose 3MedDRA: Cataract, Graves' disease, Magnetic resonance imaging abnormal, Mass, Ophthalmic migraine — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 1) diagnosed with Graves Disease effecting my left eye. 2) Also, an MRI found a well-circumscribed mass involving the medial left anterior extraconal orbit. 3) Cataract in my Left eye. Post vaccine, I experienced Left Occular migraine.MedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-03
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2021-12-06
Call successfulDoes not wish to fill out VAERS report
- 2021-12-13
- 2022-01-28
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2022-04-07
Dose 4 — Moderna
- 2022-04-16
- 2022-04-23
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-07-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Moderna | |
| 2 | 2021-01-23 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Not sure if it related, but noticed dry eyes x 3 days.
Release 5 — day 42, dose 2
Symptoms: Orbital headache that lasted a day
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Insomnia
Systemic reaction (other): Eye swelling where I had a headache
Systemic reaction (other): Slight right ear pain
Systemic reaction (other): Bilateral Eye pain
Systemic reaction (other): Headache in both eyes
Release 10 — day 7, dose 3
Systemic reaction (other): Headache in bilateral eyes. Continue to have to use Tylenol and Ibuprofen
Release 10 — day 35, dose 3
Symptoms: 1) diagnosed with Graves Disease effecting my left eye. 2) Also, an MRI found a well-circumscribed mass involving the medial left anterior extraconal orbit. 3) Cataract in my Left eye. Post vaccine, I experienced Left Occular migraine.
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 | Cataract | · | · | ✓ |
| SD | Eye pain | ✓ | ✓ | ✓ |
| SD | Graves' disease | · | · | ✓ |
| SD | Magnetic resonance imaging abnormal | · | · | ✓ |
| SD | Mass | · | · | ✓ |
| SD | Ophthalmic migraine | · | · | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Eye pain | · | · | ✓ |
| SRO | Eye swelling | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release