5CR-97372-87658

3 vaccinations 7 coded responses 13 check-ins 7 free-text entries 6 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 490 / MI
Registered: 2021-03-23

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

2021-02-20
Dose 1 — Moderna
2021-03-19
Dose 2 — Moderna
2021-03-23
Registered in v-safe
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Vision blurred — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: right eye muscle pain with hazy vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Unevaluable event, Vision blurred — Feeling: Fair · Site: Pain · Headache · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Pain behind right eye when moving it from side to side, up and down, diagonally with burry/hazy/impaired vision in right eye. · Healthcare visit (other): Optometrist exam and referral to ophthalmologist tomorrow to check for optic neuritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Magnetic resonance imaging, Medical counselling, Neuritis, Office visit, Optic neuritis — Feeling: Fair · Headache · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Optic neuritis in right eye · Healthcare visit (other): Ophthalmologist: Ordered MRI of right optic area as well as brain with and without contrast. Scheduled tomorrow (03/26/2021) morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
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)
2021-03-26
Survey response — day 7, dose 2
MedDRA: Blindness unilateral, Eye pain, Magnetic resonance imaging head abnormal, Optic neuritis, Pain, Unevaluable event — Feeling: Fair · Headache · 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: Systemic reaction (other): Pain with right eye movement and loss of right eye vision · Healthcare visit (other): MRI of brain orbits resulting in optic neuritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 7, 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)
2021-04-02
Survey response — day 14, dose 2
MedDRA: Infusion, Multiple sclerosis, Optic neuritis — 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, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Optic neuritis with new diagnosis of multiple sclerosis · Healthcare visit (other): Methylprednisolone infusions for 5 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
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)
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 35, dose 2
MedDRA: Multiple sclerosis, Office visit, Optic neuritis, Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Right eye optic neuritis still ongoing. Overactive immune system response triggered that lead to a flair and diagnosis of Relapsing Remitting Multiple Sclerosis. MRIs of brain, orbital areas, and spine. Numerous tests to rule out other causes. · Healthcare visit (other): Neurologist, MRI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
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)
2021-05-01
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Call 1 — Left Voicemail
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-05
Dose 3 — Moderna
2022-03-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-07-07
Survey response — 6 months, dose 3
MedDRA: Fatigue, Hypothyroidism, Multiple sclerosis, Optic neuritis, Somnolence — Feeling: Good · 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: Extreme fatigue, unable to stay awake for long periods of time. Diagnosed with hypothyroidism. Diagnosed with optic neuritis after 2nd vaccine in March 2021 followed by multiple sclerosis April 2021. Booster vaccine caused a major flare for 5 weeks.

MedDRA releases: 2024-11 · check-in free text available
2022-07-07
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-08
Call 1 — Left Voicemail
2022-07-08
Call 1 — Left Voicemail
2022-07-08
Call 1 — Left Voicemail
2022-07-08
Call 1 — Left Voicemail
2022-07-08
Call 2 — Left Voicemail
2022-07-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Moderna
2	2021-03-19	Moderna
3	2022-01-05	Moderna	No

Call center

6 call center cases

6 unsuccessful

4 waits over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): right eye muscle pain with hazy vision

2021-03-24

Systemic reaction (other): Pain behind right eye when moving it from side to side, up and down, diagonally with burry/hazy/impaired vision in right eye.

Healthcare visit (other): Optometrist exam and referral to ophthalmologist tomorrow to check for optic neuritis

2021-03-25

Systemic reaction (other): Optic neuritis in right eye

Healthcare visit (other): Ophthalmologist: Ordered MRI of right optic area as well as brain with and without contrast. Scheduled tomorrow (03/26/2021) morning.

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): Pain with right eye movement and loss of right eye vision

Healthcare visit (other): MRI of brain orbits resulting in optic neuritis

Release 6 — day 14, dose 2

2021-04-02

Symptoms: Optic neuritis with new diagnosis of multiple sclerosis

Healthcare visit (other): Methylprednisolone infusions for 5 days

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Right eye optic neuritis still ongoing. Overactive immune system response triggered that lead to a flair and diagnosis of Relapsing Remitting Multiple Sclerosis. MRIs of brain, orbital areas, and spine. Numerous tests to rule out other causes.

Healthcare visit (other): Neurologist, MRI

Release 12 — 6 months, dose 3

2022-07-07

Symptoms: Extreme fatigue, unable to stay awake for long periods of time. Diagnosed with hypothyroidism. Diagnosed with optic neuritis after 2nd vaccine in March 2021 followed by multiple sclerosis April 2021. Booster vaccine caused a major flare for 5 weeks. cut off by CDC

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	Infusion	✓	✓	✓
HCVO	Magnetic resonance imaging	○	✓	○
HCVO	Magnetic resonance imaging head abnormal	✓	·	✓
HCVO	Medical counselling	○	✓	○
HCVO	Office visit	✓	✓	✓
HCVO	Optic neuritis	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Hypothyroidism	·	·	✓
SD	Multiple sclerosis	✓	✓	✓
SD	Optic neuritis	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Somnolence	·	·	✓
SRO	Blindness unilateral	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Neuritis	○	✓	○
SRO	Optic neuritis	✓	·	✓
SRO	Pain	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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