3ZS-93669-14561 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-28
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Survey response — day 14, dose 1
MedDRA: Diplopia, Headache, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Headache and double vision in left eye for 14 days · Healthcare visit (other): GP visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-28
Dose 2 — Moderna
2021-03-28
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Diplopia — Feeling: Fair · Headache

Free text: First shot created double vision in my left eye for 3 weeks. Still partly there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Diplopia, Emergency care, Headache, Office visit, SARS-CoV-2 test — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Systemic reaction (other): Double vision in left eye from first shot seems to have nearly stopped. But that and headache lasted 3 weeks. ER visit and multiple doc appts. and tests.. · Healthcare visit (other): CT, MRI, EKG, 2 Covid tests, blood work, retina photo exam, neuro clinic visit/exam, other eye doc exam.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Fair · Headache

Free text: Left eye pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-12-16
Callback requested for
04:00PM ET
2021-12-16
Call successful
2021-12-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Moderna
2	2021-03-28	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 14, dose 1

2021-03-16

Symptoms: Headache and double vision in left eye for 14 days

Healthcare visit (other): GP visit

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): First shot created double vision in my left eye for 3 weeks. Still partly there.

2021-03-31

Systemic reaction (other): Double vision in left eye from first shot seems to have nearly stopped. But that and headache lasted 3 weeks. ER visit and multiple doc appts. and tests..

Healthcare visit (other): CT, MRI, EKG, 2 Covid tests, blood work, retina photo exam, neuro clinic visit/exam, other eye doc exam.

2021-04-02

Systemic reaction (other): Left eye pain

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	SARS-CoV-2 test	✓	✓	✓
SD	Diplopia	✓	✓	✓
SD	Headache	✓	✓	✓
SRO	Diplopia	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Headache	✓	✓	✓

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