Z46-30879-37278

3 vaccinations 6 coded responses 29 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 337 / FL
Registered: 2021-01-16

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

2021-01-11
Dose 1 — Moderna
2021-01-16
Registered in v-safe
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-25
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Intestinal distress and diarrhea for one morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-08
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Survey response — day 21, dose 2
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good

Free text: Two weeks after my second shot, my armpit started hurting, and the glands were swollen under my arm. It was the same arm where I received the vaccine. It went away after about six days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-16
Dose 3 — Moderna
2021-11-27
Survey response — day 7, dose 3
MedDRA: Muscle spasms, Oedema peripheral — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Severe leg cramps, swelling under arm

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-07
Survey response — day 21, dose 3
MedDRA: Eye inflammation, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Inflammation in eyes · Healthcare visit (other): Eye Doctor

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-08
Call successful
Participant prefers to complete VAERS report online
2021-12-14
Survey response — day 28, dose 3
MedDRA: Visual impairment — Feeling: Fair

Free text: My eyesight seems to be getting a little worse.

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-15
Survey response — 3 months, dose 3
MedDRA: Corneal scar, Keratitis, Office visit, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: My eye doctor thinks that the vaccine may have caused an inflammation and scarring on my cornea. I had to get a new prescription for my glasses. The inflammation seems to be gone now. · Healthcare visit (other): Eye doctor

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-16
Call 1 — Left Voicemail
2022-05-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-16
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna
3	2021-11-16	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-07	Successful 2021-12-08	Participant prefers to complete VAERS report online
2022-02-15	Unsuccessful

Free text

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Intestinal distress and diarrhea for one morning

Release 4 — day 21, dose 2

2021-03-01

Symptoms: Two weeks after my second shot, my armpit started hurting, and the glands were swollen under my arm. It was the same arm where I received the vaccine. It went away after about six days.

Release 10 — day 7, dose 3

2021-11-27

Systemic reaction (other): Severe leg cramps, swelling under arm

Release 10 — day 21, dose 3

2021-12-07

Symptoms: Inflammation in eyes

Healthcare visit (other): Eye Doctor

Release 10 — day 28, dose 3

2021-12-14

Symptoms: My eyesight seems to be getting a little worse.

Release 11 — 3 months, dose 3

2022-02-15

Symptoms: My eye doctor thinks that the vaccine may have caused an inflammation and scarring on my cornea. I had to get a new prescription for my glasses. The inflammation seems to be gone now.

Healthcare visit (other): Eye doctor

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	Abdominal discomfort	✓	✓	✓
SD	Axillary pain	✓	✓	✓
SD	Corneal scar	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Eye inflammation	·	·	✓
SD	Keratitis	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Visual impairment	·	·	✓
SRO	Muscle spasms	·	·	✓
SRO	Oedema peripheral	·	·	✓

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