4ZP-25478-97763 · OpenVSafe

Timeline

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

2021-01-22
Dose 1 — Moderna
2021-02-17
Dose 2 — Moderna
2021-03-06
Registered in v-safe
2021-03-06
Survey response — day 14, dose 2
MedDRA: Blindness, Immunisation reaction, Office visit — Feeling: Poor · 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: Symptoms: 9 days after 1st I experienced Covid Arm. 10 days after 2nd dose, I lost my vision. Dr. leaning towards diagnosis of VKH disease. currently undergoing ongoing diagnosis and treatment. · Healthcare visit (other): seeing Retina specialist daily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 14, 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)
2021-03-10
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-03-17
Survey response — day 28, dose 2
MedDRA: Blindness, Inflammation, Office visit — Feeling: Poor · 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: Symptoms: Loss vision on 3/1 which was 12 days after 2nd moderna shot. Extreme inflammation now requiring emergency specialist long term care. · Healthcare visit (other): Lost my vision 3/1 at 12 days post moderna 2nd shot. Have been seeing specialist since and working on treatment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 28, 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)
2021-03-24
Survey response — day 35, dose 2
MedDRA: Blindness, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: ongoing loss of vision as last reported. · Healthcare visit (other): retina specialist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 35, 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)
2022-02-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-17	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 14, dose 2

2021-03-06

Symptoms: 9 days after 1st I experienced Covid Arm. 10 days after 2nd dose, I lost my vision. Dr. leaning towards diagnosis of VKH disease. currently undergoing ongoing diagnosis and treatment.

Healthcare visit (other): seeing Retina specialist daily

Release 5 — day 28, dose 2

2021-03-17

Symptoms: Loss vision on 3/1 which was 12 days after 2nd moderna shot. Extreme inflammation now requiring emergency specialist long term care.

Healthcare visit (other): Lost my vision 3/1 at 12 days post moderna 2nd shot. Have been seeing specialist since and working on treatment.

Release 6 — day 35, dose 2

2021-03-24

Symptoms: ongoing loss of vision as last reported.

Healthcare visit (other): 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	Blindness	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Blindness	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Office visit	✓	✓	✓

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