4KE-37221-36655
4 vaccinations
12 coded responses
27 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 983 / WA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-21
Dose 1 — Moderna
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2021-02-01
Registered in v-safe
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2021-02-01
Survey response — day 7, dose 1MedDRA: Tinnitus, Vertigo — Feeling: FairFree text: Bilateral Fluctuating Tinnitus, onset 1/22 continues. 1/22, 1/23. Vertigo, resolved 1/24MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — day 14, dose 1MedDRA: Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Bilateral tinnitus, fluctuating,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-11
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2021-02-17
Dose 2 — Moderna
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: TinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesFree text: Bilateral, fluctuating tinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Tinnitus — Feeling: Good · Site: Pain · Joint painsFree text: Vax site shoulder joint pain +Tinnitus, longer periods without, but still presentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Injection site pain, Tinnitus — Feeling: Good · Site: Pain · Joint painsFree text: Joint pain in vax site 2 shoulder joint, hf tinnitus, rt earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Cardiac failure, Tinnitus — Feeling: GoodFree text: Tinnitus, mild continous, hf, bilateralMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Pain, Tinnitus — Feeling: Good · Site: PainFree text: Tinnitus, residual pain on lifting arm at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
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2021-03-03
Survey response — day 14, dose 2MedDRA: Injection site pain, Pain, Tinnitus — Feeling: GoodFree text: Recurrent...nagging arm pain the injection site, ...this shoulder has had problems in the past, but no reason for continued ache in that location... Fluctuating HF tinnitus, bilateral... decreases, returns, never has resolvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
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2021-03-17
Survey response — day 28, dose 2MedDRA: Palpitations, Pre-existing disease, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Mild palpitations x 48 hours so far,HF tinnitus continuesOnset of seasonal tree allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-24
- 2021-03-31
- 2021-05-21
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2021-06-29
Call successfulCompleted over the phone
- 2021-08-18
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2021-10-15
Dose 3 — Moderna
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2022-02-21
Survey response — 12 months, dose 2MedDRA: COVID-19, Tinnitus, Vertigo — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tinnitus returned with Booster in December Symptomatic Covid in early January with increase in bilateral tinnitus, 4 days of vertigo. Tinnitus resolved first week of FebruaryMedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Dose 4 — Pfizer-BioNTech
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2022-10-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Muscle or body aches, Abdominal painAdult check-in
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2022-10-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal painAdult check-in
- 2022-10-18
- 2022-10-19
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
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2023-01-11
Survey response — 3 months, dose 4MedDRA: Sinus disorder, Viral infection — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-10-15 | Moderna | No |
| 4 | 2022-10-12 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Bilateral Fluctuating Tinnitus, onset 1/22 continues. 1/22, 1/23. Vertigo, resolved 1/24
Release 3 — day 14, dose 1
Symptoms: Bilateral tinnitus, fluctuating,
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Tinnitus
Systemic reaction (other): Bilateral, fluctuating tinnitus
Systemic reaction (other): Vax site shoulder joint pain +Tinnitus, longer periods without, but still present
Systemic reaction (other): Joint pain in vax site 2 shoulder joint, hf tinnitus, rt ear
Systemic reaction (other): Tinnitus, mild continous, hf, bilateral
Systemic reaction (other): Tinnitus, residual pain on lifting arm at injection site
Release 4 — day 14, dose 2
Symptoms: Recurrent...nagging arm pain the injection site, ...this shoulder has had problems in the past, but no reason for continued ache in that location... Fluctuating HF tinnitus, bilateral... decreases, returns, never has resolved
Release 5 — day 28, dose 2
Symptoms: Mild palpitations x 48 hours so far,HF tinnitus continuesOnset of seasonal tree allergies
Release 11 — 12 months, dose 2
Symptoms: Tinnitus returned with Booster in December Symptomatic Covid in early January with increase in bilateral tinnitus, 4 days of vertigo. Tinnitus resolved first week of February
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 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SD | Vertigo | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Cardiac failure | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release