YVA-82434-25318

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 983 / WA
Registered: 2021-01-19

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-08
Dose 1 — Moderna
2021-01-19
Registered in v-safe
2021-01-19
Survey response — day 7, dose 1
MedDRA: Eye pain, Eye swelling, Facial pain, Ocular discomfort — Feeling: Good · Site: Swelling · 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: Right eye and facial aches with tugging on right eye. Eye still looks larger that left eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-22
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-29
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Survey response — day 0, dose 2
MedDRA: Eye inflammation, Office visit, Swelling face — Feeling: Fair · Site: Swelling · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Facial swelling again and right eye inflammation · Healthcare visit (other): Let employee health

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 0, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Eye swelling, Swelling face — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, 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 · Outpatient clinic or urgent care clinic visit

Free text: Swollen right eye and face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — days 1–6 daily, 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)
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling face — Feeling: Fair · Site: Swelling · Headache

Free text: Still right eye and facial sweelen ligjtly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Swelling

Free text: Right eye and cheek area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Eye swelling, Periorbital swelling, Swelling face — Feeling: Good · Site: Swelling

Free text: Rifht eye and. Cheeck puffy .decreasein daily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Eye swelling, Swelling face — Feeling: Fair · Site: Swelling · Be unable to do your normal daily activities

Free text: Eye and cheek swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Swelling · Be unable to do your normal daily activities

Free text: Right eye and cheek

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 42, dose 2
MedDRA: Eye inflammation, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I am more fatigued and right eye has never went back to normal will be seeing a eye doc soon for chronic eye inflammation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Call 1 — Left Voicemail
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-29
Call 1 — Left Voicemail
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-04	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-19	Unsuccessful
2021-02-04	Unsuccessful
2021-02-05	Unsuccessful
2021-03-18	Unsuccessful

Free text

Release 2 — day 7, dose 1

2021-01-19

Systemic reaction (other): Right eye and facial aches with tugging on right eye. Eye still looks larger that left eye

Release 3 — day 0, dose 2

2021-02-04

Systemic reaction (other): Facial swelling again and right eye inflammation

Healthcare visit (other): Let employee health

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Swollen right eye and face

2021-02-06

Systemic reaction (other): Still right eye and facial sweelen ligjtly

2021-02-07

Systemic reaction (other): Right eye and cheek area

2021-02-08

Systemic reaction (other): Rifht eye and. Cheeck puffy .decreasein daily

2021-02-09

Systemic reaction (other): Eye and cheek swollen

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Right eye and cheek

Release 5 — day 42, dose 2

2021-03-18

Symptoms: I am more fatigued and right eye has never went back to normal will be seeing a eye doc soon for chronic eye inflammation.

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	Eye inflammation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SRO	Eye inflammation	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Periorbital swelling	·	·	✓
SRO	Swelling face	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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