328-25455-69892
2 vaccinations
2 coded responses
13 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 027 / MA
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-02-25
Dose 2 — Moderna
-
2021-02-28
Registered in v-safe
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Diarrhoea, Headache, Lethargy, Muscular weakness, Myalgia, Night sweats, Pain, Pyrexia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: 18 hrs after my 2nd shot I developed 101.5 fever. Muscle & body aches, chills, headache & night sweats, loose stools & extreme muscle weakness/lethargy which lasted over 48 hrsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
-
2021-03-04
Survey response — day 7, dose 2MedDRA: Eye disorder, Eye inflammation, Headache, Malaise, Office visit, Ophthalmological examination, Pain, Photopsia, Pyrexia, Stress, Vision blurred, Vitreous floaters — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I was seen by eye dr. Today. 3 days after my 2nd shot I noticed many flashes in my left eye. Then a cloudy spot then next day that has not gone away. The dr feels it is akin to a small blister from a major stress event- perhaps the vaccine. As I was severely ill with headaches, 101.5 fever for two days & body aches etc, I am thinking this may me the case. I will be seen again in 2wks to see if it resolves. A bizarre side effect perhaps? · Healthcare visit (other): Eye Dr.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-11
- 2021-03-18
- 2021-03-27
- 2021-04-01
- 2021-04-08
- 2021-05-29
- 2021-08-28
-
2021-10-01
Call successfulCompleted over the phone
- 2022-02-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): 18 hrs after my 2nd shot I developed 101.5 fever. Muscle & body aches, chills, headache & night sweats, loose stools & extreme muscle weakness/lethargy which lasted over 48 hrs
Release 5 — day 7, dose 2
Systemic reaction (other): I was seen by eye dr. Today. 3 days after my 2nd shot I noticed many flashes in my left eye. Then a cloudy spot then next day that has not gone away. The dr feels it is akin to a small blister from a major stress event- perhaps the vaccine. As I was severely ill with headaches, 101.5 fever for two days & body aches etc, I am thinking this may me the case. I will be seen again in 2wks to see if it resolves. A bizarre side effect perhaps?
Healthcare visit (other): Eye Dr.
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 | Ophthalmological examination | ○ | ✓ | ○ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Eye disorder | ✓ | · | ✓ |
| SRO | Eye inflammation | ○ | ✓ | ○ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Photopsia | ✓ | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Stress | ✓ | · | ✓ |
| SRO | Vision blurred | ✓ | · | ✓ |
| SRO | Vitreous floaters | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release