237-27435-84083
4 vaccinations
9 coded responses
44 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 983 / WA
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-02-25
Registered in v-safe
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2021-02-25
Survey response — day 21, dose 1MedDRA: Gastrooesophageal reflux disease, Tinnitus — Feeling: FairFree text: Ringing in left ear for approximately two weeks or 1 week after injection. This rarely calms down.Acid reflux going on 3rd day now. This becomes more problematic 3 - 4 hours after going to bed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Dose 2 — Moderna
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2021-03-04
Survey response — day 0, dose 2MedDRA: Immediate post-injection reaction, Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness, NauseaFree text: Ringing in my left ear? Started about 30 minutes after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Fair · Fatigue or tirednessFree text: Continued ringing in my left earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Good · Fatigue or tirednessFree text: Ringing in left ear continuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Tinnitus — Feeling: GoodFree text: Left ear continues to ring makes sleeping at night very difficultMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Ringing in left ear continuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 7, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Ringing in left ear continuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-09-06
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2021-10-27
Dose 3 — Moderna
- 2021-10-27
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fever · Headache, Joint painsAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
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2022-10-12
Dose 4 — Moderna
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-18
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
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2022-11-16
Survey response — day 35, dose 4MedDRA: Chills, Cough, Headache, Pain, Rhinorrhoea, Sneezing — Feeling: PoorFree text: Headache, sneezing, running nose, horrible cough, chills with body achesMedDRA releases: 2024-11 · check-in free text available
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2022-11-23
Survey response — day 42, dose 4MedDRA: Cough, Fatigue, Respiratory disorder, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Horrible respiratory issues Fatigue, runny nose, coughMedDRA releases: 2024-11 · check-in free text available
- 2023-01-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-10-12 | Moderna | No |
Free text
Release 4 — day 21, dose 1
Symptoms: Ringing in left ear for approximately two weeks or 1 week after injection. This rarely calms down.Acid reflux going on 3rd day now. This becomes more problematic 3 - 4 hours after going to bed.
Release 5 — day 0, dose 2
Systemic reaction (other): Ringing in my left ear? Started about 30 minutes after injection
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Continued ringing in my left ear
Systemic reaction (other): Ringing in left ear continues
Systemic reaction (other): Left ear continues to ring makes sleeping at night very difficult
Systemic reaction (other): Ringing in left ear continues
Release 5 — day 7, dose 2
Systemic reaction (other): Ringing in left ear continues
Release 12 — day 35, dose 4
Symptoms: Headache, sneezing, running nose, horrible cough, chills with body aches
Release 12 — day 42, dose 4
Symptoms: Horrible respiratory issues Fatigue, runny nose, cough
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release