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2RK-26002-33064

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 1 call case
Sex
Male
Age at first dose
56-60
ZIP prefix
775 / TX
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Registered in v-safe
  2. 2021-01-13
    Dose 1 — Moderna
  3. 2021-01-13
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Insomnia — Feeling: Good · Fatigue or tiredness
    Free text: Not sure if fatigue is real because I usually dont sleep very well well before COVID-19
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Probably my imagination, but seems like short term memory loss; Im sure this is just my general job stress :-)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-27
    Survey response — day 14, dose 1
    MedDRA: Heart rate increased — Feeling: Good
    Free text: Dont think its related to shot, but have in the past awakened a few times with a rapid heartbeat. Ive had a few this week and very sporadically before the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-03
    Survey response — day 21, dose 1
    MedDRA: Sinus operation, Tinnitus — Feeling: Good
    Free text: Sinus drainage, but could easily be something in the air. Also have a little tinnitus. My 2nd shit is scheduled for Feb. 12.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-10
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-12
    Dose 2 — Moderna
  15. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-05
    Survey response — day 21, dose 2
    MedDRA: Asthenia, Sinus disorder, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Weak, sinus issues, tinnitus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-05
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-22
  27. 2021-10-22
    Call successful
    Participant prefers to complete VAERS report online
  28. 2022-02-13
    Survey response — 12 months, dose 2
    MedDRA: Alopecia, Tinnitus — Feeling: Good
    Free text: My tinnitus and hair loss that both started out of the blue about 2 weeks after my second injection have almost completely subsided. I suspect it's related to the 2 shots and an over stimulated immune system.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-12Moderna

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Not sure if fatigue is real because I usually dont sleep very well well before COVID-19

2021-01-19

Systemic reaction (other): Probably my imagination, but seems like short term memory loss; Im sure this is just my general job stress :-)

Release 2 — day 14, dose 1

2021-01-27

Symptoms: Dont think its related to shot, but have in the past awakened a few times with a rapid heartbeat. Ive had a few this week and very sporadically before the shot.

Release 3 — day 21, dose 1

2021-02-03

Symptoms: Sinus drainage, but could easily be something in the air. Also have a little tinnitus. My 2nd shit is scheduled for Feb. 12.

Release 5 — day 21, dose 2

2021-03-05

Symptoms: Weak, sinus issues, tinnitus

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: My tinnitus and hair loss that both started out of the blue about 2 weeks after my second injection have almost completely subsided. I suspect it's related to the 2 shots and an over stimulated immune system.

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
SDAlopecia · · ✓
SDAsthenia ✓ ✓ ✓
SDHeart rate increased ✓ ✓ ✓
SDSinus disorder ✓ ✓ ✓
SDSinus operation ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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