2N5-14542-61379
1 vaccination
5 coded responses
12 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 932 / CA
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Moderna
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tirednessFree text: Very mild sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Fever · Fatigue or tirednessAdult check-in
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fever · Fatigue or tirednessFree text: My body temperature normally sits around 96 to 97 degreesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-23
- 2021-02-24
-
2021-03-03
Survey response — day 14, dose 1MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: GoodFree text: I have a cold. Nasal congestion and a very mild sore throat. May be allergy relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — day 21, dose 1MedDRA: Deafness unilateral — Feeling: GoodFree text: Im losing hearing in my right ear. The ENT Dr Im seeing does not know the cause but suspects that I have had (or have) a viral infection of the inner ear, or that I may have a growth on the nerve of the right ear. He has ordered a MRI and lab tMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — 3 months, dose 1MedDRA: Deafness, Ear infection viral, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Viral infection of the inner ear, resulting in hearing loss · Healthcare visit (other): In person appointmentsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
- 2022-02-18
-
2022-05-10
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Very mild sore throat
Systemic reaction (other): My body temperature normally sits around 96 to 97 degrees
Release 4 — day 14, dose 1
Symptoms: I have a cold. Nasal congestion and a very mild sore throat. May be allergy related
Release 5 — day 21, dose 1
Symptoms: Im losing hearing in my right ear. The ENT Dr Im seeing does not know the cause but suspects that I have had (or have) a viral infection of the inner ear, or that I may have a growth on the nerve of the right ear. He has ordered a MRI and lab t
Release 8 — 3 months, dose 1
Symptoms: Viral infection of the inner ear, resulting in hearing loss
Healthcare visit (other): In person appointments
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Deafness | ✓ | ✓ | ✓ |
| SD | Deafness unilateral | ✓ | ✓ | ✓ |
| SD | Ear infection viral | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release