428-10208-62727
2 vaccinations
20 coded responses
22 check-ins
20 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 600 / IL
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-23
Dose 1 — Moderna
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2021-03-24
Registered in v-safe
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Herpes zoster — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Possible shingles flare upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite, Dysgeusia — Feeling: Good · Site: Pain · Fever · Fatigue or tirednessFree text: Bitter taste that started once I received the vaccine and continues. I forgot to mention it before. Also, loss of appetite.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Bitter tasteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Tinnitus — Feeling: GoodFree text: Forgot to mention my tinnitus is moderate to severe. Is this a side effect others had, too? :(MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Tinnitus — Feeling: GoodFree text: Tinnitus decreased but still present:(MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — day 7, dose 1MedDRA: Tinnitus — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Tinnitus is very loud and troubling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
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2021-04-13
Survey response — day 21, dose 1MedDRA: Headache, Tinnitus — Feeling: Poor · Be unable to do your normal daily activitiesFree text: severe tinnitus and moderately severe headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Dose 2 — Moderna
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2021-04-20
Survey response — day 0, dose 2MedDRA: Decreased appetite, Tinnitus — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: tinnitus worsening, lack of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Bone pain, Dizziness, Feeling abnormal, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: bone pain, tinnitus constant at a moderate level, episodes of dizziness, foggy thinkingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea, Lymphadenopathy, Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: last night cervical lymph nodes swollen, decreased tinnitus, loose stoolsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: tinnitus worsenedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: tinnitus worsenedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — day 7, dose 2MedDRA: Tinnitus — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: tinnitus lessenedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
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2021-05-11
Survey response — day 21, dose 2MedDRA: Asthenia, Decreased appetite, Fatigue, Impaired work ability, Lethargy, Tinnitus — Feeling: Good · Be unable to workFree text: episodic lethargy and increased tinnitus, lack of appetite When I indicated unable to work, I mean due to limited energy, I cannot do as much work as I normally would do. More rest is required.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Survey response — day 28, dose 2MedDRA: Asthenia, Fatigue, Lethargy — Feeling: Good · Be unable to do your normal daily activitiesFree text: Just waves of lethargy or tiredness. Not as energetic as before covid vaccines. Not doing as much in my day, but still able to carry on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Survey response — day 35, dose 2MedDRA: Asthenia, Headache, Tinnitus — Feeling: FairFree text: tinnitus worsened. more headaches. low energy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Survey response — day 42, dose 2MedDRA: Arthralgia, Decreased appetite, Tinnitus — Feeling: FairFree text: worsening tinnitus. no appetite. joint pain, especially upon awakening.I will say yes to the question do you think this is related to the covid vaccine but I really dont know, so a choice of maybe would have helped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-20
Survey response — 3 months, dose 2MedDRA: Asthenia, Myalgia, Pre-existing disease, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: tinnitus worse. previous to covid vaccine, i had muscle aches which are worse since covid vaccine. also, my energy has declined. i must rest or limit my errands and chores. i really hope this is all coincidental and not covid vaccine related.MedDRA releases: 2024-11 · check-in free text available
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2021-10-19
Survey response — 6 months, dose 2MedDRA: Office visit, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have continued with tinnitus mild to severe. I never had severe and frequent tinnitus before the covid vaccines. I don't know if there's a positive correlation. · Healthcare visit (other): internal medicine. advised to see an ENT if worsens.MedDRA releases: 2024-11 · check-in free text available
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2021-10-19
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-25
- 2021-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Possible shingles flare up
Systemic reaction (other): Dizziness
Systemic reaction (other): Bitter taste that started once I received the vaccine and continues. I forgot to mention it before. Also, loss of appetite.
Systemic reaction (other): Bitter taste
Systemic reaction (other): Forgot to mention my tinnitus is moderate to severe. Is this a side effect others had, too? :(
Systemic reaction (other): Tinnitus decreased but still present:(
Release 6 — day 7, dose 1
Systemic reaction (other): Tinnitus is very loud and troubling.
Release 7 — day 21, dose 1
Symptoms: severe tinnitus and moderately severe headaches
Release 7 — day 0, dose 2
Systemic reaction (other): tinnitus worsening, lack of appetite
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): bone pain, tinnitus constant at a moderate level, episodes of dizziness, foggy thinking
Systemic reaction (other): last night cervical lymph nodes swollen, decreased tinnitus, loose stools
Systemic reaction (other): tinnitus worsened
Systemic reaction (other): tinnitus worsened
Release 8 — day 7, dose 2
Systemic reaction (other): tinnitus lessened
Release 8 — day 21, dose 2
Symptoms: episodic lethargy and increased tinnitus, lack of appetite When I indicated unable to work, I mean due to limited energy, I cannot do as much work as I normally would do. More rest is required.
Release 8 — day 28, dose 2
Symptoms: Just waves of lethargy or tiredness. Not as energetic as before covid vaccines. Not doing as much in my day, but still able to carry on.
Release 8 — day 35, dose 2
Symptoms: tinnitus worsened. more headaches. low energy.
Release 8 — day 42, dose 2
Symptoms: worsening tinnitus. no appetite. joint pain, especially upon awakening.I will say yes to the question do you think this is related to the covid vaccine but I really dont know, so a choice of maybe would have helped.
Release 9 — 3 months, dose 2
Symptoms: tinnitus worse. previous to covid vaccine, i had muscle aches which are worse since covid vaccine. also, my energy has declined. i must rest or limit my errands and chores. i really hope this is all coincidental and not covid vaccine related.
Release 10 — 6 months, dose 2
Symptoms: I have continued with tinnitus mild to severe. I never had severe and frequent tinnitus before the covid vaccines. I don't know if there's a positive correlation.
Healthcare visit (other): internal medicine. advised to see an ENT if worsens.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release