55Q-19644-73061

2 vaccinations 9 coded responses 16 check-ins 9 free-text entries 5 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 344 / FL
Registered: 2021-01-16

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

2021-01-09
Dose 1 — Moderna
2021-01-16
Registered in v-safe
2021-01-16
Survey response — day 7, dose 1
MedDRA: Vision blurred — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Eyes are blurry, have been off and on since first vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — day 14, dose 1
MedDRA: Photophobia, Vaccine positive rechallenge, Vision blurred — Feeling: Good

Free text: Vision becomes blurry at times and sensitive to bright sunlight. Had a similar condition about an hour after the first vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Moderna
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Ear ache in AM

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-02-13
Survey response — day 7, dose 2
MedDRA: Heart rate irregular — Feeling: Fair

Free text: Irregular heart beat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 14, dose 2
MedDRA: Fatigue, Heart rate irregular, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Irregular heart beat. Had for approximately 5 days. Seems to have gone now. Was also feeling very tired. Told my Dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-27
Survey response — day 21, dose 2
MedDRA: Chest pain, Cold sweat, Heart rate irregular, Hospitalisation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Irregular heartbeat. In hospital now · Healthcare visit (other): Chest pain, cold sweats, irregular heartbeat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Survey response — day 28, dose 2
MedDRA: Heart rate irregular — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Irregular heartbeat. After 2nd Maderna vacination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — day 35, dose 2
MedDRA: Emergency care, Heart rate irregular, Hospitalisation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Irregular heart beat occasionally after second vaccination. ER twice, hospital once. Nuclear stress test, no blockages. Taking meds. ???

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — day 35, dose 2
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 42, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-16
Call 1 — Left Voicemail
2022-02-06
Survey response — 12 months, dose 2
MedDRA: Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Blurry vision in right eye.

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna

Call center

5 call center cases

5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-16

Systemic reaction (other): Eyes are blurry, have been off and on since first vaccination.

Release 2 — day 14, dose 1

2021-01-23

Symptoms: Vision becomes blurry at times and sensitive to bright sunlight. Had a similar condition about an hour after the first vaccination.

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Ear ache in AM

Release 4 — day 7, dose 2

2021-02-13

Systemic reaction (other): Irregular heart beat

Release 4 — day 14, dose 2

2021-02-22

Symptoms: Irregular heart beat. Had for approximately 5 days. Seems to have gone now. Was also feeling very tired. Told my Dr.

Release 4 — day 21, dose 2

2021-02-27

Symptoms: Irregular heartbeat. In hospital now

Healthcare visit (other): Chest pain, cold sweats, irregular heartbeat

Release 5 — day 28, dose 2

2021-03-06

Symptoms: Irregular heartbeat. After 2nd Maderna vacination

Release 5 — day 35, dose 2

2021-03-14

Symptoms: Irregular heart beat occasionally after second vaccination. ER twice, hospital once. Nuclear stress test, no blockages. Taking meds. ???

Release 11 — 12 months, dose 2

2022-02-06

Symptoms: Blurry vision in right eye.

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	Chest pain	✓	✓	✓
HCVO	Cold sweat	✓	✓	✓
HCVO	Heart rate irregular	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Photophobia	✓	✓	✓
SD	Vaccine positive rechallenge	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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