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28X-45159-33522

2 vaccinations 3 coded responses 5 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
675 / KS
Registered
2021-02-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Dose 1 — Moderna
  2. 2021-02-05
    Dose 2 — Moderna
  3. 2021-02-21
    Registered in v-safe
  4. 2021-02-21
    Survey response — day 14, dose 2
    MedDRA: Headache, Myalgia, Pain, Pain in extremity, Tinnitus — Feeling: Fair · 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: Burning aching pain in feet and ringing in my ears. Headache and muscle pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-21
    Report sent to call center — day 14, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-28
    Survey response — day 21, dose 2
    MedDRA: Pain in extremity, Sleep disorder — Feeling: Fair
    Free text: Painful feet when trying to sleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-05
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-08-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-08-30
  10. 2022-02-05
    Survey response — 12 months, dose 2
    MedDRA: Tinnitus — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Increased tinnitus
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-02-05
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  12. 2022-02-08

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-21 Unsuccessful
2022-02-05 Unsuccessful

Free text

Release 4 — day 14, dose 2

2021-02-21

Symptoms: Burning aching pain in feet and ringing in my ears. Headache and muscle pain.

Release 4 — day 21, dose 2

2021-02-28

Symptoms: Painful feet when trying to sleep

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: Increased tinnitus

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
SDHeadache ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDSleep disorder ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓

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