3ZF-27785-93833
2 vaccinations
8 coded responses
23 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 559 / MN
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Diarrhea, Abdominal painAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-03
Dose 2 — Moderna
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Swelling · HeadacheFree text: It really bruised where I got the shot. It is in medium size bruise.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Contusion, Pain — Feeling: Fair · Site: Swelling · HeadacheFree text: Bruise and really soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: Good · Site: Pain · HeadacheFree text: BruiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: Good · Site: Pain · HeadacheFree text: BruiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: Good · Site: Swelling · HeadacheFree text: BruisedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: BruiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
-
2021-03-24
Survey response — day 21, dose 2MedDRA: Ear pain, Headache, Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Been having headaches, buzzing/noise in my head/ears, earache · Healthcare visit (other): Doctor's appointment at clinicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-31
- 2021-04-08
- 2021-04-14
- 2021-06-02
-
2021-09-01
Survey response — 6 months, dose 2MedDRA: Office visit, Tinnitus — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Have noises in my ears since February when got first shot. Didnt realize it til just the last month or so that it is related to the vaccine. Now they are saying it could be a life time thing for me. Ugh I hate it. · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-01
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-02
- 2021-09-07
-
2021-09-08
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): It really bruised where I got the shot. It is in medium size bruise.
Systemic reaction (other): Bruise and really sore
Systemic reaction (other): Bruise
Systemic reaction (other): Bruise
Systemic reaction (other): Bruised
Systemic reaction (other): Bruise
Release 6 — day 21, dose 2
Symptoms: Been having headaches, buzzing/noise in my head/ears, earache
Healthcare visit (other): Doctor's appointment at clinic
Release 9 — 6 months, dose 2
Symptoms: Have noises in my ears since February when got first shot. Didnt realize it til just the last month or so that it is related to the vaccine. Now they are saying it could be a life time thing for me. Ugh I hate it.
Healthcare visit (other): Office visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release