252-32789-57998

5 vaccinations 16 coded responses 50 check-ins 16 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 191 / PA
Registered: 2021-03-04

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-03
Dose 1 — Moderna
2021-03-04
Registered in v-safe
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-01
Survey response — day 0, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Site: Redness · Fever

Free text: Light headed/fuzzy, underwater feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Fuzzy ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Tinnitus — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Fuzziness in earstinnitus?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Tinnitus — Feeling: Good · Site: Pain

Free text: Tinnitus persistshigher frequency

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus persists

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus persists

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Fatigue or tiredness

Free text: Tinnitus persists

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus persists

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 21, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus seems to be worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 28, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus persists

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 35, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus continues to be a problem

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Survey response — 6 months, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Still have significant tinnitus, which began the day after my second shot.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Dose 3 — Moderna
2021-10-29
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Redness, Swelling · Fever

Free text: Tinnitus that began with second dose disappeared after booster injection

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog, Chills, Fatigue, Headache, Malaise, Nausea — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Last night, after last check-in, l did not feel well: headache (feeling as if underwater), slight nausea, chills and fatigue.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Chills — Feeling: Good · Site: Pain

Free text: Last night at bedtime I experienced teeth-chattering chills and severe joint pain for about 3 hours.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Dose 4 — Pfizer-BioNTech
2022-04-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-29
Survey response — day 28, dose 4
MedDRA: Malaise, Vertigo — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Two days of vertigofollowed by a general malaise

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-07
Dose 5 — Pfizer-BioNTech
2022-09-30
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-16
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-08
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-08
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-04-01	Moderna
3	2021-10-29	Moderna	No
4	2022-04-01	Pfizer-BioNTech	No
5	2022-09-07	Pfizer-BioNTech	No

Free text

Release 6 — day 0, dose 2

2021-04-01

Systemic reaction (other): Light headed/fuzzy, underwater feeling

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Fuzzy ears

2021-04-03

Systemic reaction (other): Fuzziness in earstinnitus?

2021-04-04

Systemic reaction (other): Tinnitus persistshigher frequency

2021-04-05

Systemic reaction (other): Tinnitus persists

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Tinnitus persists

2021-04-07

Systemic reaction (other): Tinnitus persists

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Tinnitus persists

Release 7 — day 21, dose 2

2021-04-22

Symptoms: Tinnitus seems to be worse.

Release 8 — day 28, dose 2

2021-04-29

Symptoms: Tinnitus persists

Release 8 — day 35, dose 2

2021-05-06

Symptoms: Tinnitus continues to be a problem

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: Still have significant tinnitus, which began the day after my second shot.

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Tinnitus that began with second dose disappeared after booster injection

2021-10-31

Systemic reaction (other): Last night, after last check-in, l did not feel well: headache (feeling as if underwater), slight nausea, chills and fatigue.

2021-11-04

Systemic reaction (other): Last night at bedtime I experienced teeth-chattering chills and severe joint pain for about 3 hours.

Release 11 — day 28, dose 4

2022-04-29

Symptoms: Two days of vertigofollowed by a general malaise

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	Malaise	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Chills	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Malaise	·	·	✓
SRO	Nausea	·	·	✓
SRO	Tinnitus	✓	✓	✓

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