68G-29029-67901

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 171 / PA
Registered: 2021-05-20

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

2021-05-07
Dose 1 — Moderna
2021-05-20
Registered in v-safe
2021-05-20
Survey response — day 7, dose 1
MedDRA: Erythema, Office visit, Skin warm — Feeling: Good · Site: Redness, Swelling, Itching · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Red, woth a darker red ring around the area. It's hot to the touch. It appeared 8 days after injection. · Healthcare visit (other): Normal dr visit with my PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-30
Survey response — day 21, dose 1
MedDRA: Fatigue, Hypersomnia, Injection site erythema, Somnolence, Vision blurred — Feeling: Fair

Free text: Extremely tired, sleeping a lot and blurred vision that ckmes and goes like 4 to 5 times a day. My arm is pink near the injection site, like a faint pink mark the size of my hand around my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Dose 2 — Moderna
2021-06-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-06-07
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Memory impairment — Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: No appetite and I'm having issues remembering small tasks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-06-11
Survey response — day 7, dose 2
MedDRA: Dyspnoea — Feeling: Good · Headache, Fatigue or tiredness

Free text: Shortness of breathe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-27
Survey response — day 21, dose 2
MedDRA: Visual impairment — Feeling: Good

Free text: My eye sight has changed, drastically. I have an eye appt coming up in a few weeks to discuss this issue. The changes happened after the 1st shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-09
Survey response — day 35, dose 2
MedDRA: Peripheral swelling — Feeling: Fair

Free text: Feet sweeling and than going back to normal. Happens like 4 or 5 times a day. Has been for the past 4 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-04
Survey response — 6 months, dose 2
MedDRA: Office visit, Reaction to previous exposure to any vaccine, Swelling of eyelid, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have developed eye lid swelling and problems with my vision since i had my first shot and again after the 2nd. I have been on antibiotics for 2 months. · Healthcare visit (other): Eye Specialist

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-06
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-07	Moderna
2	2021-06-04	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 8 — day 7, dose 1

2021-05-20

Systemic reaction (other): Red, woth a darker red ring around the area. It's hot to the touch. It appeared 8 days after injection.

Healthcare visit (other): Normal dr visit with my PCP

Release 8 — day 21, dose 1

2021-05-30

Symptoms: Extremely tired, sleeping a lot and blurred vision that ckmes and goes like 4 to 5 times a day. My arm is pink near the injection site, like a faint pink mark the size of my hand around my arm.

Release 8 — days 1–6 daily, dose 2

2021-06-07

Systemic reaction (other): No appetite and I'm having issues remembering small tasks

Release 9 — day 7, dose 2

2021-06-11

Systemic reaction (other): Shortness of breathe

Release 9 — day 21, dose 2

2021-06-27

Symptoms: My eye sight has changed, drastically. I have an eye appt coming up in a few weeks to discuss this issue. The changes happened after the 1st shot.

Release 9 — day 35, dose 2

2021-07-09

Symptoms: Feet sweeling and than going back to normal. Happens like 4 or 5 times a day. Has been for the past 4 days.

Release 10 — 6 months, dose 2

2021-12-04

Symptoms: I have developed eye lid swelling and problems with my vision since i had my first shot and again after the 2nd. I have been on antibiotics for 2 months.

Healthcare visit (other): Eye 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	Office visit	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersomnia	·	·	✓
SD	Injection site erythema	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Somnolence	✓	✓	○
SD	Swelling of eyelid	·	·	✓
SD	Vision blurred	✓	✓	✓
SD	Visual impairment	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Skin warm	✓	✓	✓

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