YFR-10112-76447

3 vaccinations 9 coded responses 38 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 891 / NV
Registered: 2021-03-23

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

Timeline

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Moderna
2021-03-23
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Bone pain, Feeling cold, Limb discomfort, Night sweats — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Bone pain. Heavy feeling in legs. Very cold and then night sweats.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Visual impairment — Feeling: Good

Free text: I have no idea if this is connected tobthe vaccine, but I've had a major decrease in vision in at least one eye since at least Thursday. I do have keratoconus but my vision had been stable for a while. It's hard to see and drive but I didn't realize I could report it here. I see my corneal doctor in 2 weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 7, dose 1
MedDRA: Pre-existing disease, Visual impairment — Feeling: Good

Free text: Continuing to have a decrease in vision since vaccine. May be a fluke due to corneal disease.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 14, dose 1
MedDRA: Corneal oedema — 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: Corneal edema.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Survey response — day 21, dose 1
MedDRA: Corneal oedema — 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: I still have corneal edema in my right eye but am not sure if it is just a fluke. My eye doctors are unsure and I am still on medications.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-20
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Corneal oedema, Corneal thinning, Keratitis, Keratoconus, Office visit, Pre-existing disease — Feeling: Good · Fever · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Corneal edema from 1st vaccine in eye with keratoconus. Now cornea has thinned a lot in a couple weeks and will need a transplant. My corneal specialist suspects inflammation from vaccine caused the sudden thinning. · Healthcare visit (other): Corneal specialist, 2nd visit, established patient due to keratoconus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-08
Call 1 — Left Voicemail
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-25
Dose 3 — Pfizer-BioNTech
2022-10-25
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Paranasal sinus discomfort, Sinus pain — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: I've had sinus psin/pressure and woke up with a severe headache. Not normal for me in the fall with low pollen.

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2022-11-01
Survey response — day 7, dose 3
MedDRA: Headache, Migraine, Pre-existing disease — Feeling: Good · Headache

Free text: Just a note that I get migraines and headaches from my neck, so my headaches are responding to Imitrex, etc. It is unusual that Ive had so many since the vaccine, though.

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-01-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-04-25
Survey response — 6 months, dose 3
MedDRA: Lichen planopilaris — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-25
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-23	Moderna
3	2022-10-25	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-06	Successful 2023-04-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-04-13	Successful 2023-04-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-04-28	Successful 2023-04-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-25	Successful 2023-04-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Bone pain. Heavy feeling in legs. Very cold and then night sweats.

2021-03-29

Systemic reaction (other): I have no idea if this is connected tobthe vaccine, but I've had a major decrease in vision in at least one eye since at least Thursday. I do have keratoconus but my vision had been stable for a while. It's hard to see and drive but I didn't realize I could report it here. I see my corneal doctor in 2 weeks.

Release 6 — day 7, dose 1

2021-03-30

Systemic reaction (other): Continuing to have a decrease in vision since vaccine. May be a fluke due to corneal disease.

Release 7 — day 14, dose 1

2021-04-06

Symptoms: Corneal edema.

Release 7 — day 21, dose 1

2021-04-13

Symptoms: I still have corneal edema in my right eye but am not sure if it is just a fluke. My eye doctors are unsure and I am still on medications.

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Corneal edema from 1st vaccine in eye with keratoconus. Now cornea has thinned a lot in a couple weeks and will need a transplant. My corneal specialist suspects inflammation from vaccine caused the sudden thinning.

Healthcare visit (other): Corneal specialist, 2nd visit, established patient due to keratoconus.

Release 12 — days 1–6 daily, dose 3

2022-10-30

Systemic reaction (other): I've had sinus psin/pressure and woke up with a severe headache. Not normal for me in the fall with low pollen.

Release 12 — day 7, dose 3

2022-11-01

Systemic reaction (other): Just a note that I get migraines and headaches from my neck, so my headaches are responding to Imitrex, etc. It is unusual that Ive had so many since the vaccine, though.

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	Keratoconus	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Corneal oedema	✓	✓	✓
SD	Lichen planopilaris	·	·	✓
SRO	Bone pain	✓	✓	✓
SRO	Corneal oedema	✓	✓	✓
SRO	Corneal thinning	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Keratitis	✓	✓	✓
SRO	Keratoconus	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Migraine	·	·	✓
SRO	Night sweats	✓	✓	✓
SRO	Paranasal sinus discomfort	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sinus pain	·	·	✓
SRO	Visual impairment	✓	✓	✓

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