2QS-56994-84900 · OpenVSafe

Timeline

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

2021-10-04
Registered in v-safe
2021-10-04
Dose 1 — Moderna
2021-10-04
Survey response — day 0, dose 1
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Ringing in left ear

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ringing in ear

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Tinnitus — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea

Free text: Have been dizzy today and still have ringing in ear

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Fever · Chills, Headache

Free text: Ringing in ear

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-10-13
Survey response — day 7, dose 1
MedDRA: Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Still have Ringing in ear

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-11-01
Dose 2 — Moderna
2021-11-01
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-11-01
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: No I just got the vaccine at 545 pm

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Muscle or body aches, Nausea · Be unable to work or attend school

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Eat ringing

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-12-08
Survey response — day 35, dose 2
MedDRA: Adverse reaction, Office visit — Feeling: Fair

Free text: I have been seeing my Dr for issues that have started since receiving the vaccine and have been put on steroids twice so far

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Survey response — 6 months, dose 2
MedDRA: Alopecia, Antinuclear antibody positive, Arthralgia, Dry eye, Dry mouth, Headache, Joint stiffness, Joint swelling, Weight increased — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Multiple symptoms, joint pain, swollen joint, hair loss, joint stiffness, dry eyes, dry mouth, headaches, weight gain Positive ANA test.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-04	Moderna	No
2	2021-11-01	Moderna	No

Free text

Release 10 — day 0, dose 1

2021-10-04

Systemic reaction (other): Ringing in left ear

Release 10 — days 1–6 daily, dose 1

2021-10-05

Systemic reaction (other): Ringing in ear

2021-10-06

Systemic reaction (other): Have been dizzy today and still have ringing in ear

2021-10-07

Systemic reaction (other): Ringing in ear

Release 10 — day 7, dose 1

2021-10-13

Systemic reaction (other): Still have Ringing in ear

Release 10 — day 0, dose 2

2021-11-01

Systemic reaction (other): No I just got the vaccine at 545 pm

Release 10 — days 1–6 daily, dose 2

2021-11-03

Systemic reaction (other): Eat ringing

Release 10 — day 35, dose 2

2021-12-08

Symptoms: I have been seeing my Dr for issues that have started since receiving the vaccine and have been put on steroids twice so far

Release 11 — 6 months, dose 2

2022-05-04

Symptoms: Multiple symptoms, joint pain, swollen joint, hair loss, joint stiffness, dry eyes, dry mouth, headaches, weight gain Positive ANA test.

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	Adverse reaction	·	·	✓
SD	Alopecia	·	·	✓
SD	Antinuclear antibody positive	·	·	✓
SD	Arthralgia	·	·	✓
SD	Dry eye	·	·	✓
SD	Dry mouth	·	·	✓
SD	Headache	·	·	✓
SD	Joint stiffness	·	·	✓
SD	Joint swelling	·	·	✓
SD	Office visit	·	·	✓
SD	Weight increased	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Tinnitus	·	·	✓
SRO	Unevaluable event	·	·	✓

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