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252-14168-49309

3 vaccinations 7 coded responses 11 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
492 / MI
Registered
2021-12-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Dose 1 — Moderna
  2. 2021-03-25
    Dose 2 — Moderna
  3. 2021-11-30
    Dose 3 — Moderna
  4. 2021-12-01
    Registered in v-safe
  5. 2021-12-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache
    Free text: At 9:30 pm last night I developed tinnitus. I am still experiencing it.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Gait inability, Osteoarthritis, Pain, Pre-existing disease, Tinnitus — Feeling: Poor · Site: Pain · Joint pains · Be unable to do your normal daily activities
    Free text: I still have tinnitus in both ears. My right hip which has moderate osteoarthritis is killing me. I had a steroid injection 7 weeks ago and was pain free. Now I can't even walk on it.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Mental disorder, Respiratory tract congestion, Tinnitus — Feeling: Poor · Joint pains · Be unable to do your normal daily activities
    Free text: Tinnitus and feel like my head is full! Don't feel right mentally!
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Tinnitus — Feeling: Poor · Joint pains · Be unable to do your normal daily activities
    Free text: No improvement in the ringing in my ears and have severe hip pain
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Tinnitus — Feeling: Fair
    Free text: Still experiencing ringing in my ears! It won't stop!!!!"Please help me find someone I can talk to!!
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-12-07
    Survey response — day 7, dose 3
    MedDRA: Tinnitus — Feeling: Fair · Joint pains
    Free text: Still have ringing in my ears! It is getting worse not better!
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-14
    Survey response — day 14, dose 3
    MedDRA: Insomnia, Tinnitus — Feeling: Fair
    Free text: I still have ringing in my ears 24/7. I am having difficulty sleeping.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-12-22
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  13. 2022-01-04
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  14. 2022-01-14
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  15. 2022-12-02
    Health check-in — 12 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna No
22021-03-25Moderna No
32021-11-30Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-01

Systemic reaction (other): At 9:30 pm last night I developed tinnitus. I am still experiencing it.

2021-12-02

Systemic reaction (other): I still have tinnitus in both ears. My right hip which has moderate osteoarthritis is killing me. I had a steroid injection 7 weeks ago and was pain free. Now I can't even walk on it.

2021-12-04

Systemic reaction (other): Tinnitus and feel like my head is full! Don't feel right mentally!

2021-12-05

Systemic reaction (other): No improvement in the ringing in my ears and have severe hip pain

2021-12-06

Systemic reaction (other): Still experiencing ringing in my ears! It won't stop!!!!"Please help me find someone I can talk to!!

Release 10 — day 7, dose 3

2021-12-07

Systemic reaction (other): Still have ringing in my ears! It is getting worse not better!

Release 10 — day 14, dose 3

2021-12-14

Symptoms: I still have ringing in my ears 24/7. I am having difficulty sleeping.

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

FieldPreferred term2021-092023-042024-11
SDInsomnia · · ✓
SDTinnitus · · ✓
SROArthralgia · · ✓
SROGait inability · · ✓
SROMental disorder · · ✓
SROOsteoarthritis · · ✓
SROPain · · ✓
SROPre-existing disease · · ✓
SRORespiratory tract congestion · · ✓
SROTinnitus · · ✓

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