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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

  1. 2021-01-04
    Dose 1 — Moderna
  2. 2021-01-12
    Registered in v-safe
  3. 2021-01-12
    Survey response — day 7, dose 1
    MedDRA: Disturbance in attention, Fatigue, Nasopharyngitis, Sedation — Feeling: Poor · Site: Pain, Swelling · Fatigue or tiredness
    Free 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
  4. 2021-01-18
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-01-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-01
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-03
    Dose 2 — Moderna
  8. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Swelling
    Free text: occasional brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-10
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness
    Adult check-in
  11. 2021-02-17
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-02-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-03
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-03-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-17
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-05-05
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free 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 tests
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-05
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-08-04
    Survey response — 6 months, dose 2
    MedDRA: Hypoacusis, Otorrhoea, Respiratory tract congestion — Feeling: Fair
    Free 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
  19. 2022-02-03
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-04-15
  21. 2022-04-15
    Call successful
    Completed over the phone

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Moderna
22021-02-03Moderna

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

See the call center timeline

Free text

Release 1 — day 7, dose 1

2021-01-12

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

2021-02-09

Systemic reaction (other): occasional brain fog

Release 8 — 3 months, dose 2

2021-05-05

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

2021-08-04

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDAcoustic stimulation tests abnormal ✓ ✓ ✓
SDDeafness unilateral ✓ ✓ ✓
SDEar discomfort ✓ ✓ ✓
SDHypoacusis ✓ · ✓
SDOtorrhoea ✓ · ✓
SDPre-existing disease ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SRODisturbance in attention ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SROSedation ✓ ✓ ✓

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