YND-50930-13835

4 vaccinations 12 coded responses 37 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 446 / OH
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-04-22
Dose 2 — Moderna
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pyrexia — Feeling: Good

Free text: Fever and pain gone today!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Ophthalmic migraine — Feeling: Good

Free text: I did get a visual migraine today which I have only experienced one other time, lasted 10 or 15 minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Office visit, Swelling of eyelid, Toothache — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Red swollen eyelids happened last evening, this also happened during the first vaccination but did not think it was a reaction from the vaccine until it happened again. Teeth pain. · Healthcare visit (other): Family doctor and dentist. Both said it was probably vaccine related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dry eye, Ocular hyperaemia, Swelling — Feeling: Good

Free text: Still have the redness on eyelids and dry and scaling, but swelling around the eyelids has went down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: My eyelids are getting better still a little scaly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Electrocardiogram abnormal — Feeling: Good

Free text: Abnormal EKG

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — 6 months, dose 2
MedDRA: Dermatitis contact — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Still have the contact dermatitis which has surfaced periodically.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-25
Call successful
Participant prefers to complete VAERS report online
2021-10-25
Call successful
Participant prefers to complete VAERS report online
2021-12-30
Dose 3 — Pfizer-BioNTech
2021-12-30
Survey response — day 0, dose 3
MedDRA: Unevaluable event — Feeling: Good

Free text: I just got the shot about an hour ago at 6:30 pm I suppose I won't have any symptoms yet.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2022-01-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good

Free text: So far so good with the Pfizer booster

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-05
Survey response — days 1–6 daily, dose 3
MedDRA: Dermatitis contact, Vaccine positive rechallenge — Feeling: Fair

Free text: When I receive the Moderno vaccine on both doses about a week to two weeks later I got contact dermatologist around my eyes. This is now starting to happen with the Pfizer booster vaccine also.

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-20
Survey response — day 21, dose 3
MedDRA: Dermatitis contact, Vaccine positive rechallenge — Feeling: Good

Free text: Once again I contracted contact dermatologist around my eyes. This happened with both other vaccines.

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-15
Dose 4 — Other-Unknown
2022-06-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-13
Survey response — day 28, dose 4
MedDRA: Dermatitis contact — Feeling: Good

Free text: I started again with the contact dermatitis on the right eye

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-15
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna
3	2021-12-30	Pfizer-BioNTech	No
4	2022-06-15	Other-Unknown	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-26	Successful 2021-10-25	Participant prefers to complete VAERS report online
2021-10-21	Successful 2021-10-25	Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Fever and pain gone today!

2021-04-25

Systemic reaction (other): I did get a visual migraine today which I have only experienced one other time, lasted 10 or 15 minutes

2021-04-26

Systemic reaction (other): Red swollen eyelids happened last evening, this also happened during the first vaccination but did not think it was a reaction from the vaccine until it happened again. Teeth pain.

Healthcare visit (other): Family doctor and dentist. Both said it was probably vaccine related.

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Still have the redness on eyelids and dry and scaling, but swelling around the eyelids has went down.

2021-04-28

Systemic reaction (other): My eyelids are getting better still a little scaly

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Abnormal EKG

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: Still have the contact dermatitis which has surfaced periodically.

Release 10 — day 0, dose 3

2021-12-30

Systemic reaction (other): I just got the shot about an hour ago at 6:30 pm I suppose I won't have any symptoms yet.

Release 10 — days 1–6 daily, dose 3

2022-01-03

Systemic reaction (other): So far so good with the Pfizer booster

2022-01-05

Systemic reaction (other): When I receive the Moderno vaccine on both doses about a week to two weeks later I got contact dermatologist around my eyes. This is now starting to happen with the Pfizer booster vaccine also.

Release 10 — day 21, dose 3

2022-01-20

Symptoms: Once again I contracted contact dermatologist around my eyes. This happened with both other vaccines.

Release 12 — day 28, dose 4

2022-07-13

Symptoms: I started again with the contact dermatitis on the right eye

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	✓	✓	✓
SD	Dermatitis contact	·	·	✓
SD	Electrocardiogram abnormal	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dermatitis contact	·	·	✓
SRO	Dry eye	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Ophthalmic migraine	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Swelling of eyelid	✓	✓	✓
SRO	Toothache	✓	✓	✓
SRO	Unevaluable event	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓

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