YKC-22594-68376 · OpenVSafe

Timeline

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

2021-02-09
Dose 1 — Moderna
2021-03-09
Dose 2 — Moderna
2021-03-18
Registered in v-safe
2021-03-18
Survey response — day 7, dose 2
MedDRA: Diplopia, Dizziness, Vision blurred — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Dizziness, blurred vision and double vision.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 7, 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)
2021-03-23
Survey response — day 14, dose 2
MedDRA: Asthenia, Loss of personal independence in daily activities, Visual impairment — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cant remember what I posted on my last check in but I finished my steroid pack yesterday. My strength is greatly improved. Today has been the first day I have not been on the couch. Vision is getting back to normal. Hope to be able to drive tomorr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 14, 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)
2021-03-30
Survey response — day 21, dose 2
MedDRA: Dizziness, Hypogeusia, Loss of personal independence in daily activities, Nausea, SARS-CoV-2 test negative, Visual impairment, Weight decreased — Feeling: Poor · Be unable to work, 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

Free text: My dizziness, nausea and vision has gotten much worse in the past 2 days. Had an MRI today and go for another tomorrow. As of now, I cant drive. Im down to 117, have lost 7 pounds. I have no sense of taste. Covid tested 3/29/21. Negative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 21, 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)
2021-04-06
Survey response — day 28, dose 2
MedDRA: Dizziness, Hospitalisation, Inflammation, Magnetic resonance imaging abnormal, Office visit, Ulcer, Visual impairment — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: The new MRIs I received for dizziness and sight issues that started after the second shot, show an active lesion. My neurologist suspects the 2nd shot caused inflammation which caused the flare. Ive been admitted to (b)(6) in (b)(6).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 28, 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)
2021-04-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-18	Unsuccessful
2021-03-23	Unsuccessful
2021-03-30	Unsuccessful
2021-04-06	Unsuccessful

Free text

Release 5 — day 7, dose 2

2021-03-18

Systemic reaction (other): Dizziness, blurred vision and double vision.

Release 6 — day 14, dose 2

2021-03-23

Symptoms: Cant remember what I posted on my last check in but I finished my steroid pack yesterday. My strength is greatly improved. Today has been the first day I have not been on the couch. Vision is getting back to normal. Hope to be able to drive tomorr

Release 6 — day 21, dose 2

2021-03-30

Symptoms: My dizziness, nausea and vision has gotten much worse in the past 2 days. Had an MRI today and go for another tomorrow. As of now, I cant drive. Im down to 117, have lost 7 pounds. I have no sense of taste. Covid tested 3/29/21. Negative

Release 7 — day 28, dose 2

2021-04-06

Symptoms: The new MRIs I received for dizziness and sight issues that started after the second shot, show an active lesion. My neurologist suspects the 2nd shot caused inflammation which caused the flare. Ive been admitted to (b)(6) in (b)(6).

redacted (b)(6)

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	Asthenia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Hypogeusia	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Magnetic resonance imaging abnormal	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Ulcer	✓	✓	✓
SD	Visual impairment	✓	✓	✓
SD	Weight decreased	✓	✓	✓
SRO	Diplopia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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