39N-33867-87291

1 vaccination 9 coded responses 13 check-ins 9 free-text entries 7 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 641 / MO
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-08
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)
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-09
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)
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharospasm, Memory impairment — Feeling: Good · Headache, Joint pains

Free text: Memory issues and eye twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — day 7, dose 1
MedDRA: Blepharospasm — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Eye twitching constantly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-21
Survey response — day 14, dose 1
MedDRA: Blindness — Feeling: Fair · Be unable to work

Free text: Loss of vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 21, dose 1
MedDRA: Visual impairment — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I had 20/15 vision before. I am currebtly struggling to see clearly at all out of my left eye.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 28, dose 1
MedDRA: Blindness, Headache, Sensory loss — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Left side- Vision loss, loss of feeling on fingers and hand, pain in legRight side headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Survey response — day 42, dose 1
MedDRA: Diplopia, Halo vision, Photophobia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continued worsening vision. Seeing double. Sensitivity to light. Halos around lights and streaks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — day 42, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — 3 months, dose 1
MedDRA: Memory impairment, Visual impairment — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Worsening vision issues, memory and thinking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — 3 months, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Call 1 — Left Voicemail
2021-07-08
Survey response — 6 months, dose 1
MedDRA: Blindness, Insomnia, Memory impairment, Sleep disorder, Weight increased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Sleep problems, memory issues, vision loss, excessive weight gain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-14
Call 1 — Left Voicemail
2021-08-31
Call successful
Participant prefers to complete VAERS report online
2022-01-10
Survey response — 12 months, dose 1
MedDRA: Abnormal weight gain, Depression — Feeling: Fair · Be unable to work or attend school

Free text: Extreme weight gain and depression

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna

Call center

7 call center cases

4 successful · 3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Memory issues and eye twitching

Release 2 — day 7, dose 1

2021-01-14

Systemic reaction (other): Eye twitching constantly

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Loss of vision

Release 3 — day 21, dose 1

2021-01-28

Symptoms: I had 20/15 vision before. I am currebtly struggling to see clearly at all out of my left eye.

Release 3 — day 28, dose 1

2021-02-04

Symptoms: Left side- Vision loss, loss of feeling on fingers and hand, pain in legRight side headache

Release 4 — day 42, dose 1

2021-02-20

Symptoms: Continued worsening vision. Seeing double. Sensitivity to light. Halos around lights and streaks.

Release 7 — 3 months, dose 1

2021-04-09

Symptoms: Worsening vision issues, memory and thinking

Release 9 — 6 months, dose 1

2021-07-08

Symptoms: Sleep problems, memory issues, vision loss, excessive weight gain

Release 10 — 12 months, dose 1

2022-01-10

Symptoms: Extreme weight gain and depression

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	Abnormal weight gain	·	·	✓
SD	Blindness	✓	✓	✓
SD	Depression	·	·	✓
SD	Diplopia	✓	✓	✓
SD	Halo vision	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	○
SD	Memory impairment	✓	✓	✓
SD	Photophobia	✓	✓	✓
SD	Sensory loss	✓	✓	✓
SD	Sleep disorder	·	·	✓
SD	Visual impairment	✓	✓	✓
SD	Weight increased	✓	✓	✓
SRO	Blepharospasm	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Muscle twitching	○	○	○

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