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
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2021-02-25
Dose 1 — Moderna
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2021-03-25
Dose 2 — Moderna
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2021-11-30
Dose 3 — Moderna
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2021-12-01
Registered in v-safe
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2021-12-01
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, HeadacheFree text: At 9:30 pm last night I developed tinnitus. I am still experiencing it.MedDRA releases: 2024-11 · check-in free text available
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2021-12-02
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Gait inability, Osteoarthritis, Pain, Pre-existing disease, Tinnitus — Feeling: Poor · Site: Pain · Joint pains · Be unable to do your normal daily activitiesFree 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
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2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Mental disorder, Respiratory tract congestion, Tinnitus — Feeling: Poor · Joint pains · Be unable to do your normal daily activitiesFree text: Tinnitus and feel like my head is full! Don't feel right mentally!MedDRA releases: 2024-11 · check-in free text available
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2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Tinnitus — Feeling: Poor · Joint pains · Be unable to do your normal daily activitiesFree text: No improvement in the ringing in my ears and have severe hip painMedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: FairFree 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
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2021-12-07
Survey response — day 7, dose 3MedDRA: Tinnitus — Feeling: Fair · Joint painsFree text: Still have ringing in my ears! It is getting worse not better!MedDRA releases: 2024-11 · check-in free text available
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2021-12-14
Survey response — day 14, dose 3MedDRA: Insomnia, Tinnitus — Feeling: FairFree text: I still have ringing in my ears 24/7. I am having difficulty sleeping.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-22
- 2022-01-04
- 2022-01-14
- 2022-12-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | No |
| 2 | 2021-03-25 | Moderna | No |
| 3 | 2021-11-30 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): At 9:30 pm last night I developed tinnitus. I am still experiencing it.
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.
Systemic reaction (other): Tinnitus and feel like my head is full! Don't feel right mentally!
Systemic reaction (other): No improvement in the ringing in my ears and have severe hip pain
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
Systemic reaction (other): Still have ringing in my ears! It is getting worse not better!
Release 10 — day 14, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Insomnia | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Gait inability | · | · | ✓ |
| SRO | Mental disorder | · | · | ✓ |
| SRO | Osteoarthritis | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release