34J-15852-62505

3 vaccinations 11 coded responses 32 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 480 / MI
Registered: 2021-02-24

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-24
Registered in v-safe
2021-02-24
Dose 1 — Moderna
2021-02-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Nausea

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Flushing — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Flushing, asthmatic cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-24
Dose 2 — Moderna
2021-03-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Good · Fatigue or tiredness

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — day 28, dose 2
MedDRA: Tinnitus — Feeling: Good · Be unable to do your normal daily activities

Free text: My tinnitus continues and there a a question of hearing loss. Im having a hearing test done to evaluate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 35, dose 2
MedDRA: Ear disorder, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Nausea associated with ear problem that remains unresolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 42, dose 2
MedDRA: Deafness, Inflammation, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: On prednisone from inflammation, hearing loss and abnormal acoustic nerve reflexes. Requires insulin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-20
Dose 3 — Pfizer-BioNTech
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Headache, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-27
Health check-in — day 7, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-03
Survey response — day 14, dose 3
MedDRA: Hypoaesthesia, Nausea, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea and numbness/tingling of the head with movement.

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Survey response — day 21, dose 3
MedDRA: Hypoaesthesia, Nausea, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cannot hold head down without major nausea and numbness/tingling of the head.

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-12-22
Survey response — 12 months, dose 3
MedDRA: Asthenia, Gait disturbance, Hypoaesthesia, Muscle spasticity, Paraesthesia, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have continued issues from episode following Moderna, spasticity, continued PT to correct weakness, numbness/tingling and gait disturbances. Compromised immune system from steroid treatments following the shot.

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-24	Moderna
3	2021-12-20	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): Flushing, asthmatic cough

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Tinnitus

2021-03-28

Systemic reaction (other): Tinnitus

2021-03-30

Systemic reaction (other): Tinnitus

Release 6 — day 7, dose 2

2021-03-31

Systemic reaction (other): Tinnitus

Release 7 — day 28, dose 2

2021-04-21

Symptoms: My tinnitus continues and there a a question of hearing loss. Im having a hearing test done to evaluate.

Release 8 — day 35, dose 2

2021-04-28

Symptoms: Nausea associated with ear problem that remains unresolved.

Release 8 — day 42, dose 2

2021-05-05

Symptoms: On prednisone from inflammation, hearing loss and abnormal acoustic nerve reflexes. Requires insulin.

Release 10 — day 14, dose 3

2022-01-03

Symptoms: Nausea and numbness/tingling of the head with movement.

Release 10 — day 21, dose 3

2022-01-12

Symptoms: Cannot hold head down without major nausea and numbness/tingling of the head.

Release 12 — 12 months, dose 3

2022-12-22

Symptoms: I have continued issues from episode following Moderna, spasticity, continued PT to correct weakness, numbness/tingling and gait disturbances. Compromised immune system from steroid treatments following the shot.

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	Asthenia	·	·	✓
SD	Deafness	✓	✓	✓
SD	Ear disorder	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Muscle spasticity	·	·	✓
SD	Nausea	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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