45G-26755-22533
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 109 / NY
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-04
Dose 1 — Moderna
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2021-01-12
Registered in v-safe
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2021-01-12
Survey response — day 7, dose 1MedDRA: Disturbance in attention, Fatigue, Nasopharyngitis, Sedation — Feeling: Poor · Site: Pain, Swelling · Fatigue or tirednessFree text: last week after shot extreme fatigue, difficulty concentrating and comprehending felt sedated. Today I feel like Im getting a cold so may not be related to the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-25
- 2021-02-01
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2021-02-03
Dose 2 — Moderna
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, SwellingFree text: occasional brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Health check-in — day 7, dose 2Feeling: Fair · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
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2021-05-05
Survey response — 3 months, dose 2MedDRA: Acoustic stimulation tests abnormal, Deafness unilateral, Ear discomfort, Pre-existing disease, Respiratory tract congestion, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: After my 1st shot I became congested. I thought it was from normal winter symptoms. I am hearing impaired in my right ear. In january after the 1st shot my good ear was clogged. Never improved. Hearing test indicated mild to moderate loss now. · Healthcare visit (other): Hearing testsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-04
Survey response — 6 months, dose 2MedDRA: Hypoacusis, Otorrhoea, Respiratory tract congestion — Feeling: FairFree text: After the 1st vaccine i was very congested and my hearing was impacted. I was examined and a hearing aide was recommended. Since then my ear seems to be draining and my hearing is a little better thankfully because im deaf in the other ear.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-02-03
- 2022-04-15
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2022-04-15
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): last week after shot extreme fatigue, difficulty concentrating and comprehending felt sedated. Today I feel like Im getting a cold so may not be related to the shot.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): occasional brain fog
Release 8 — 3 months, dose 2
Symptoms: After my 1st shot I became congested. I thought it was from normal winter symptoms. I am hearing impaired in my right ear. In january after the 1st shot my good ear was clogged. Never improved. Hearing test indicated mild to moderate loss now.
Healthcare visit (other): Hearing tests
Release 9 — 6 months, dose 2
Symptoms: After the 1st vaccine i was very congested and my hearing was impacted. I was examined and a hearing aide was recommended. Since then my ear seems to be draining and my hearing is a little better thankfully because im deaf in the other ear.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Acoustic stimulation tests abnormal | ✓ | ✓ | ✓ |
| SD | Deafness unilateral | ✓ | ✓ | ✓ |
| SD | Ear discomfort | ✓ | ✓ | ✓ |
| SD | Hypoacusis | ✓ | · | ✓ |
| SD | Otorrhoea | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Sedation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release