2T4-17710-97080
2 vaccinations
7 coded responses
22 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 468 / IN
- Registered
- 2021-09-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-29
Registered in v-safe
-
2021-09-29
Dose 1 — Moderna
- 2021-09-29
-
2021-10-01
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Ear PainMedDRA releases: 2024-11 · check-in free text available
-
2021-10-03
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain — Feeling: Good · Site: PainFree text: EarachesMedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-10-06
Survey response — day 7, dose 1MedDRA: Ear discomfort — Feeling: Good · HeadacheFree text: Pressure in earsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
- 2021-10-20
-
2021-10-27
Dose 2 — Moderna
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tirednessFree text: Ear PainMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 2MedDRA: Ear discomfort — Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tirednessFree text: Ear pressureMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-03
-
2021-11-11
Survey response — day 14, dose 2MedDRA: Presyncope, Tachycardia — Feeling: Fair · Be unable to work or attend schoolFree text: Tachycardia and near syncope todayMedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-27
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: Pregnancy... If that countsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-29 | Moderna | No |
| 2 | 2021-10-27 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Ear Pain
Systemic reaction (other): Earaches
Release 10 — day 7, dose 1
Systemic reaction (other): Pressure in ears
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Ear Pain
Systemic reaction (other): Ear pressure
Release 10 — day 14, dose 2
Symptoms: Tachycardia and near syncope today
Release 11 — 6 months, dose 2
Symptoms: Pregnancy... If that counts
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 | Pregnancy | · | · | ✓ |
| SD | Presyncope | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SRO | Ear discomfort | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release