YZR-33727-31250

2 vaccinations 16 coded responses 24 check-ins 16 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 600 / IL
Registered: 2021-03-04

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-03
Dose 1 — Moderna
2021-03-04
Registered in v-safe
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Eye pain, Ophthalmic migraine — Feeling: Poor · Site: Pain · Headache, Nausea · Be unable to work

Free text: Lightheaded. Ocular migraines with pain behind my eyes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Eye pain, Migraine, Ophthalmic migraine — Feeling: Fair · Site: Pain · Headache, Nausea

Free text: Dizziness, ocular migraines with severe headache and pain behind my eyes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Headache, Ophthalmic migraine — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Still having ocular migraines and headaches. Lightheadedness is a bit better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Headache, Ophthalmic migraine — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work

Free text: Continuing to have ocular migraines and dizziness with headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Headache, Ophthalmic migraine — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Severe ocular migraines and dizziness with accompanying headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Ophthalmic migraine — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work

Free text: Still having ocular migraines and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 7, dose 1
MedDRA: Dizziness, Ophthalmic migraine — Feeling: Fair · Headache, Nausea · Be unable to work

Free text: Ocular migraies and dizziness continue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 14, dose 1
MedDRA: Injection site pain, Injection site rash, Injection site warmth, Rash erythematous — Feeling: Fair

Free text: Very large area of red rash around vaccination site. Tender and warm to the touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine, Ophthalmic migraine — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness, Nausea

Free text: Ocular migraines with headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Migraine with aura, Ophthalmic migraine — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Ocular migraines with headaches and auras

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Migraine — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Free text: Auras from ocular migraines and headackes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Ophthalmic migraine — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Still having ocular migraines but less often

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Ophthalmic migraine — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches

Free text: Ocular migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Ophthalmic migraine — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Ocular migaines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 2
MedDRA: Migraine with aura, Ophthalmic migraine — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Ocular migraine auras

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Survey response — day 28, dose 2
MedDRA: Blepharospasm, Headache, Ophthalmic migraine — Feeling: Fair · Be unable to work

Free text: Eyelid twitching followed by ocular migraines are strong again. Also headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-30
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-30	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Lightheaded. Ocular migraines with pain behind my eyes.

2021-03-05

Systemic reaction (other): Dizziness, ocular migraines with severe headache and pain behind my eyes.

2021-03-06

Systemic reaction (other): Still having ocular migraines and headaches. Lightheadedness is a bit better.

2021-03-07

Systemic reaction (other): Continuing to have ocular migraines and dizziness with headache

2021-03-08

Systemic reaction (other): Severe ocular migraines and dizziness with accompanying headache

2021-03-09

Systemic reaction (other): Still having ocular migraines and dizziness

Release 5 — day 7, dose 1

2021-03-10

Systemic reaction (other): Ocular migraies and dizziness continue

Release 5 — day 14, dose 1

2021-03-17

Symptoms: Very large area of red rash around vaccination site. Tender and warm to the touch.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Ocular migraines with headaches

2021-04-01

Systemic reaction (other): Ocular migraines with headaches and auras

2021-04-02

Systemic reaction (other): Auras from ocular migraines and headackes

2021-04-03

Systemic reaction (other): Still having ocular migraines but less often

2021-04-04

Systemic reaction (other): Ocular migraines

2021-04-05

Systemic reaction (other): Ocular migaines

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): Ocular migraine auras

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Eyelid twitching followed by ocular migraines are strong again. Also headaches.

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	Blepharospasm	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Ophthalmic migraine	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Migraine with aura	✓	✓	✓
SRO	Ophthalmic migraine	✓	✓	✓

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