3F3-23064-73760
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 980 / WA
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Registered in v-safe
-
2021-02-23
Dose 1 — Moderna
- 2021-02-27
- 2021-02-28
- 2021-03-02
- 2021-03-09
- 2021-03-16
-
2021-03-23
Dose 2 — Moderna
- 2021-03-23
- 2021-03-24
- 2021-03-25
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Ear congestion — Feeling: GoodFree text: Ear congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Deafness neurosensory — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sudden sensorineural hearing loss diagnosed by general practitioner - almost complete loss of hearing in one earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Deafness neurosensory — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with sudden sensorineural hearing loss in right ear. Can barely understand anything in that ear anymoreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Deafness — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sudden sensorineural hearing loss diagnosed by an ENT specialist and audiogram 30-40 db lossMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-30
Survey response — day 7, dose 2MedDRA: Sudden hearing loss — Feeling: Poor · Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed sudden sensorineural hearing loss (SSHL) right ear by audiologist & ENT likely caused by vaccine 35-40dB lossMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-06
- 2021-04-13
- 2021-04-21
- 2021-04-27
- 2021-05-04
- 2021-06-22
- 2021-09-21
- 2022-01-23
- 2022-01-27
- 2022-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-23 | Moderna |
Call center
4 call center cases
4 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Ear congestion
Systemic reaction (other): Sudden sensorineural hearing loss diagnosed by general practitioner - almost complete loss of hearing in one ear
Systemic reaction (other): Diagnosed with sudden sensorineural hearing loss in right ear. Can barely understand anything in that ear anymore
Systemic reaction (other): Sudden sensorineural hearing loss diagnosed by an ENT specialist and audiogram 30-40 db loss
Release 6 — day 7, dose 2
Systemic reaction (other): Diagnosed sudden sensorineural hearing loss (SSHL) right ear by audiologist & ENT likely caused by vaccine 35-40dB loss
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 |
|---|---|---|---|---|
| SRO | Deafness | ✓ | ✓ | ✓ |
| SRO | Deafness neurosensory | ✓ | ✓ | ✓ |
| SRO | Ear congestion | ✓ | ✓ | ✓ |
| SRO | Sudden hearing loss | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release