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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

  1. 2021-01-28
    Dose 1 — Moderna
  2. 2021-02-25
    Dose 2 — Moderna
  3. 2021-02-28
    Registered in v-safe
  4. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Diarrhoea, Headache, Lethargy, Muscular weakness, Myalgia, Night sweats, Pain, Pyrexia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free 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 hrs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-04
    Survey response — day 7, dose 2
    MedDRA: 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 professional
    Free 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
  9. 2021-03-04
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-01
    Call successful
    Completed over the phone
  18. 2022-02-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-28

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

2021-03-04

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
HCVOOphthalmological examination ○ ✓ ○
SROChills ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROEye disorder ✓ · ✓
SROEye inflammation ○ ✓ ○
SROHeadache ✓ ✓ ✓
SROLethargy ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROOffice visit ✓ · ✓
SROPain ✓ ✓ ✓
SROPhotopsia ✓ · ✓
SROPyrexia ✓ ✓ ✓
SROStress ✓ · ✓
SROVision blurred ✓ · ✓
SROVitreous floaters ○ ✓ ○

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