6UA-44101-10008

3 vaccinations 8 coded responses 22 check-ins 8 free-text entries 6 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 298 / SC
Registered: 2021-02-06

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1898187 (opens in a new window)	high	11 / 11	2	6 of 11 VAERS symptoms	same dose (3)	SC matches	2021-10-28 / 2021-10-29 / 2021-11-24 received 9 days after the last call	case 1164423

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

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

2020-12-30
Dose 1 — Moderna
2021-01-27
Dose 2 — Moderna
2021-02-06
Registered in v-safe
2021-02-06
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-10
Survey response — day 14, dose 2
MedDRA: Injection site pain, Injection site pruritus, Injection site rash, Multiple sclerosis, Pre-existing disease, Pyrexia, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: I never got to report that I had a fever for 3 days post injection. My injection site would flare up again with itching burning and hurting. I now just have bumps left. I have MS and have had vision problems in right eye since having the fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Survey response — day 28, dose 2
MedDRA: Blindness, Ear pain, Eye pain, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have lost vision in my right eye and I have pain in that eye and the right ear. · Healthcare visit (other): I went to an opthalmologist and I have another appointment next week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
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)
2021-03-05
Survey response — day 35, dose 2
MedDRA: Office visit, Retinal vein occlusion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My vision got and I had to see a doctor and I will have to start injections in my eye because I was told I had experienced a Branch Retinal Vein Occlusion. This all started the week after my second vaccine. · Healthcare visit (other): I saw an opthalmologist and then was sent to a Retina Specialist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
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)
2021-03-14
Survey response — day 42, dose 2
MedDRA: Blindness, Office visit, Thrombosis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I developed a blood clot in my eye and lost vision and now they are giving me injections in my eye to try to get my vision back. · Healthcare visit (other): Had to see 3 different doctors and these were office visits.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-28
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis, Pyrexia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sweating but I think that was from fever

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-11-11
Survey response — day 14, dose 3
MedDRA: Dermatitis infected, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: The rash on my arm seems to have some infection now. It's been 12 days since my booster so I sent a message with a picture of my arm to my doctor today.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-15
Call 1 — Left Voicemail
2021-11-20
Survey response — day 21, dose 3
MedDRA: Blindness unilateral, Reaction to previous exposure to any vaccine, Retinal vein occlusion, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My eye that experienced the BRVO after my previous vaccine has lost vision again since the booster. I go see the Retina Specialist on Monday. · Healthcare visit (other): I have an appointment with a Specialist on Monday.

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-23
Call 1 — Left Voicemail
2021-11-24
Call 2 — Left Voicemail
2021-11-24
Call successful
Completed over the phone
2021-11-25
Survey response — day 28, dose 3
MedDRA: Blindness, Office visit, Retinal oedema — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Had to get an injection in my eye for the Retina swelling and vision loss I have experienced since my vaccine. · Healthcare visit (other): I saw a Retina Specialist

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-17
Call 1 — Left Voicemail
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-30
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna
3	2021-10-28	Moderna	No

Call center

6 call center cases

5 successful · 1 unsuccessful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-10

Symptoms: I never got to report that I had a fever for 3 days post injection. My injection site would flare up again with itching burning and hurting. I now just have bumps left. I have MS and have had vision problems in right eye since having the fever.

Release 4 — day 28, dose 2

2021-02-26

Symptoms: I have lost vision in my right eye and I have pain in that eye and the right ear.

Healthcare visit (other): I went to an opthalmologist and I have another appointment next week.

Release 5 — day 35, dose 2

2021-03-05

Symptoms: My vision got and I had to see a doctor and I will have to start injections in my eye because I was told I had experienced a Branch Retinal Vein Occlusion. This all started the week after my second vaccine.

Healthcare visit (other): I saw an opthalmologist and then was sent to a Retina Specialist.

Release 5 — day 42, dose 2

2021-03-14

Symptoms: I developed a blood clot in my eye and lost vision and now they are giving me injections in my eye to try to get my vision back.

Healthcare visit (other): Had to see 3 different doctors and these were office visits.

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Sweating but I think that was from fever

Release 10 — day 14, dose 3

2021-11-11

Symptoms: The rash on my arm seems to have some infection now. It's been 12 days since my booster so I sent a message with a picture of my arm to my doctor today.

Release 10 — day 21, dose 3

2021-11-20

Symptoms: My eye that experienced the BRVO after my previous vaccine has lost vision again since the booster. I go see the Retina Specialist on Monday.

Healthcare visit (other): I have an appointment with a Specialist on Monday.

Release 10 — day 28, dose 3

2021-11-25

Symptoms: Had to get an injection in my eye for the Retina swelling and vision loss I have experienced since my vaccine.

Healthcare visit (other): I saw a 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	Office visit	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Blindness	✓	✓	✓
SD	Blindness unilateral	·	·	✓
SD	Dermatitis infected	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	·	·	✓
SD	Multiple sclerosis	✓	✓	○
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Retinal oedema	·	·	✓
SD	Retinal vein occlusion	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SD	Visual impairment	✓	✓	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Pyrexia	·	·	✓

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