3TJ-28512-53474

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 940 / CA
Registered: 2021-03-12

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Moderna
2021-03-12
Survey response — day 0, dose 1
MedDRA: Immediate post-injection reaction, Parosmia — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Fatigue or tiredness, Nausea

Free text: Strange smell immediately after and then a few more times during the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-02
Survey response — day 21, dose 1
MedDRA: Dizziness, Fatigue, Headache, Migraine, Myalgia — Feeling: Fair

Free text: Migraine : mild headache, dizzy, muscles ache, tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Dose 2 — Moderna
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to work

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Conjunctivitis, Hypersensitivity, Pain — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Conjunctivitis like I had after the first shot (allergic reaction) only worse. Entire body itches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — days 1–6 daily, dose 2
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)
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Conjunctivitis, Eye swelling, Pruritus — Feeling: Poor · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Conjunctivitis, swollen eyes, internal itchiness through entire body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Ocular hyperaemia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Red eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Survey response — day 21, dose 2
MedDRA: Confusional state, Conjunctivitis, Eye irritation, Headache, Pruritus, Vitreous floaters — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Conjunctivits comes and goes. My right eye has many, many floaters and both eyes burn when I put allergy drops in them.I have a headache and I feel a little confused. This began suddenly yesterday. I don't itch internally today, but my skin itches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — day 28, dose 2
MedDRA: Conjunctivitis viral, Eye pain, Hypersensitivity, Ocular hyperaemia, Office visit, Vitreous floaters — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Eye Floaters. Painfully red eyes. · Healthcare visit (other): Opthomologiste who assured me that Viral Conjunctivits is a thing and relqyed to the vaccine I had an allergic reaction to both times.And I saw a retina specialist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-01
Call 1 — Left Voicemail
2022-04-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-09	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-12

Systemic reaction (other): Strange smell immediately after and then a few more times during the day

Release 6 — day 21, dose 1

2021-04-02

Symptoms: Migraine : mild headache, dizzy, muscles ache, tired.

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Conjunctivitis like I had after the first shot (allergic reaction) only worse. Entire body itches.

2021-04-13

Systemic reaction (other): Conjunctivitis, swollen eyes, internal itchiness through entire body

2021-04-15

Systemic reaction (other): Red eyes

Release 8 — day 21, dose 2

2021-04-30

Symptoms: Conjunctivits comes and goes. My right eye has many, many floaters and both eyes burn when I put allergy drops in them.I have a headache and I feel a little confused. This began suddenly yesterday. I don't itch internally today, but my skin itches. cut off by CDC

Release 8 — day 28, dose 2

2021-05-09

Symptoms: Eye Floaters. Painfully red eyes.

Healthcare visit (other): Opthomologiste who assured me that Viral Conjunctivits is a thing and relqyed to the vaccine I had an allergic reaction to both times.And I saw a retina specialist.

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	Conjunctivitis viral	✓	✓	✓
HCVO	Hypersensitivity	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Conjunctivitis	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Eye irritation	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Ocular hyperaemia	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Vitreous floaters	✓	✓	✓
SRO	Conjunctivitis	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Parosmia	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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