ZMV-30643-95678

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 925 / CA
Registered: 2021-02-20

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

2021-02-20
Registered in v-safe
2021-02-20
Dose 1 — Moderna
2021-02-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-06
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Pyrexia, Rash pruritic, Sunburn, Swelling, Tenderness — Feeling: Good

Free text: Rash tripled in size, very itchy but felt like I was scratching a sunburn. Swelling in area got much worse and was painful to touch. Had minor headaches for several days, felt feverish at times but no fever. Had some fatigue but nothing too bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 21, dose 1
MedDRA: Eye pain, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pain behind eyes and worse headaches like beginning of a migraine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Dose 2 — Moderna
2021-03-20
Survey response — day 0, dose 2
MedDRA: Eye pain, Ocular discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in/behind eyes (primarily the left eye) , causing discomfort to use any type of screen and sometimes books, etc.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Photophobia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Still having eye pain, light sensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Photosensitivity reaction, Tinnitus — Feeling: Good · Site: Redness, Swelling, Itching · Chills, Headache

Free text: Vision issues/sensitivity, tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenopia, Dry eye, Eye pruritus — Feeling: Good · Site: Redness · Fatigue or tiredness

Free text: Still have eye issues less straining more dry and itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-27
Survey response — day 7, dose 2
MedDRA: Muscle discomfort, Ocular discomfort — Feeling: Good

Free text: Still slight muscular discomfort behind eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-01
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-21
Survey response — 3 months, dose 2
MedDRA: Drainage, Sinus disorder — Feeling: Fair

Free text: having sinus issues predominantly in right side (nasal passage, into ear, pressure behind eye, drainage into throat).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-18
Survey response — 6 months, dose 2
MedDRA: Neck pain, Pain in extremity — Feeling: Good · 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: Pain in right side neck/arm

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-22
Call 1 — Left Voicemail
2022-03-20
Survey response — 12 months, dose 2
MedDRA: Inflammation, Pain — Feeling: Fair · 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: Pains and inflammation in body

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Moderna
2	2021-03-20	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-09-18	Unsuccessful
2022-03-20	Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-06

Symptoms: Rash tripled in size, very itchy but felt like I was scratching a sunburn. Swelling in area got much worse and was painful to touch. Had minor headaches for several days, felt feverish at times but no fever. Had some fatigue but nothing too bad.

Release 5 — day 21, dose 1

2021-03-13

Symptoms: Pain behind eyes and worse headaches like beginning of a migraine.

Release 6 — day 0, dose 2

2021-03-20

Systemic reaction (other): Pain in/behind eyes (primarily the left eye) , causing discomfort to use any type of screen and sometimes books, etc.

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Still having eye pain, light sensitivity

2021-03-24

Systemic reaction (other): Vision issues/sensitivity, tinnitus

2021-03-25

Systemic reaction (other): Still have eye issues less straining more dry and itchy

Release 6 — day 7, dose 2

2021-03-27

Systemic reaction (other): Still slight muscular discomfort behind eyes

Release 9 — 3 months, dose 2

2021-06-21

Symptoms: having sinus issues predominantly in right side (nasal passage, into ear, pressure behind eye, drainage into throat).

Release 9 — 6 months, dose 2

2021-09-18

Symptoms: Pain in right side neck/arm

Release 11 — 12 months, dose 2

2022-03-20

Symptoms: Pains and inflammation in body

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	Drainage	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SD	Sunburn	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Tenderness	✓	✓	✓
SRO	Asthenopia	✓	✓	✓
SRO	Dry eye	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Muscle discomfort	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Photophobia	✓	✓	✓
SRO	Photosensitivity reaction	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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