6GA-23133-64550

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 660 / KS
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Nausea

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Eye irritation, Periorbital swelling, Specialist consultation, Vision blurred — Feeling: Fair · Site: Pain · Headache · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Blurred vision in right eye, burning sensation in right eye, swelling around right eye · Healthcare visit (other): Optometrist visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain — Feeling: Fair

Free text: Eye still hurting some today, but better than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-28
Survey response — day 14, dose 1
MedDRA: Headache, Sinus pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Strong headache for a day and a half and sinus aches/pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-12
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: I have developed red areas around my injection and it is spreading toward my elbow. My arm continues to swell more. It is very swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site reaction — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · 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: Covid arm per doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
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)
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Call 1 — Left Voicemail
2021-03-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-02
Call 1 — Left Voicemail
2021-08-20
Call 2 — Left Voicemail
2022-02-12
Survey response — 12 months, dose 2
MedDRA: Fluid retention, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Increased swelling and fluid retention

MedDRA releases: 2024-11 · check-in free text available
2022-02-12
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)
2022-02-15
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-12	Moderna

Call center

4 call center cases

4 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Blurred vision in right eye, burning sensation in right eye, swelling around right eye

Healthcare visit (other): Optometrist visit

2021-01-16

Systemic reaction (other): Eye still hurting some today, but better than yesterday

Release 2 — day 14, dose 1

2021-01-28

Symptoms: Strong headache for a day and a half and sinus aches/pain

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): I have developed red areas around my injection and it is spreading toward my elbow. My arm continues to swell more. It is very swollen.

2021-02-15

Systemic reaction (other): Covid arm per doctor

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: Increased swelling and fluid retention

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	Specialist consultation	✓	✓	✓
SD	Fluid retention	·	·	✓
SD	Headache	✓	✓	✓
SD	Sinus pain	✓	✓	✓
SD	Swelling	·	·	✓
SRO	Eye irritation	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Periorbital swelling	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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