893-28513-33970
1 vaccination
4 coded responses
9 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 497 / MI
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-15
Dose 1 — Moderna
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2021-04-17
Registered in v-safe
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Eye haemorrhage, Eye swelling, Ocular hyperaemia — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen eyes. Redness, broken blood vessels around both eyes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus, Eye swelling, Eyelid irritation, Eyelid rash, Ocular hyperaemia, Rash pruritic, Swelling of eyelid — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Swollen eyes, redness, swelling of upper and lower eyelids.Itching and burning with my rash and eye areas.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2021-04-20
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-21
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
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2021-04-21
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-22
Health check-in — day 7, dose 1Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-29
- 2021-05-06
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2021-10-14
Survey response — 6 months, dose 1MedDRA: Gastrointestinal disorder, Hepatic enzyme increased, Splenomegaly — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Severe gastrointestinal complications. Swollen spleen, elevated liver enzymes.MedDRA releases: 2024-11 · check-in free text available
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2021-10-14
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-10-15
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2022-04-15
Survey response — 12 months, dose 1MedDRA: Amnesia, Confusional state, Dyskinesia, Tremor — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Uncontrollable shaking and body movements. Short term memory loss and bouts of confusion.MedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna |
Call center
4 call center cases
4 unsuccessful
VAERS report filed, before or during a call: 3
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen eyes. Redness, broken blood vessels around both eyes.
Systemic reaction (other): Swollen eyes, redness, swelling of upper and lower eyelids.Itching and burning with my rash and eye areas.
Release 10 — 6 months, dose 1
Symptoms: Severe gastrointestinal complications. Swollen spleen, elevated liver enzymes.
Release 11 — 12 months, dose 1
Symptoms: Uncontrollable shaking and body movements. Short term memory loss and bouts of confusion.
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 |
|---|---|---|---|---|
| SD | Amnesia | · | · | ✓ |
| SD | Confusional state | · | · | ✓ |
| SD | Dyskinesia | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Hepatic enzyme increased | · | · | ✓ |
| SD | Splenomegaly | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SRO | Eye haemorrhage | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Eyelid irritation | ✓ | ✓ | ✓ |
| SRO | Eyelid rash | ✓ | ✓ | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Swelling of eyelid | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release