4M9-14687-21410

4 vaccinations 20 coded responses 46 check-ins 20 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 207 / MD
Registered: 2021-01-13

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in jaw — Feeling: Fair · Fatigue or tiredness

Free text: Jaw pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Fatigue or tiredness

Free text: Mild tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node in my neck on the same side as the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-03
Survey response — day 21, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: I had tinnitus For the first time about three days after my vaccine. It was very strong the first day, And then receded to a slight constant high-pitched sound. I just wanted to let you know that that mild level of tinnitus continues 24/7 .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Tinnitus (since first shot) continues unabated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Continual mild tinnitus since first shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Muscle or body aches

Free text: Tinnitus-Continual since A few days after the first vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 28, dose 2
MedDRA: Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Tinnitus, Which began after first vaccine has gotten somewhat worse in the past week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Survey response — day 35, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus (Which began after first vaccine) Has worsened

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 42, dose 2
MedDRA: Office visit, Pre-existing disease, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tinnitus increased · Healthcare visit (other): Acupuncture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-13
Dose 3 — Pfizer-BioNTech
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2021-11-17
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Some ringing in my ears

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Ringing in my ears

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Redness

Free text: Ringing in my ears

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Survey response — day 7, dose 3
MedDRA: Tinnitus — Feeling: Good

Free text: Ringing in my ears

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Survey response — day 14, dose 3
MedDRA: Tinnitus — Feeling: Good

Free text: High pitched ringing in my ears

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — day 21, dose 3
MedDRA: Tinnitus — Feeling: Good

Free text: Ringing in my ears

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-17
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-12-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-27
Survey response — day 42, dose 3
MedDRA: Tinnitus — Feeling: Fair

Free text: Still have tinnitus that did not resolve . But it is not worsening

MedDRA releases: 2024-11 · check-in free text available
2022-02-12
Survey response — 3 months, dose 3
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus worse lately

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Dose 4 — Moderna
2022-04-26
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-19
Survey response — 3 months, dose 4
MedDRA: Feeling hot — Feeling: Good

Free text: Sensations of warmth in my leg that may be nerve related. I have no reason to think it's related to the vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-19
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna
3	2021-11-13	Pfizer-BioNTech	No
4	2022-04-19	Moderna	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Tinnitus

2021-01-16

Systemic reaction (other): Jaw pain

2021-01-17

Systemic reaction (other): Mild tinnitus

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Swollen lymph node in my neck on the same side as the injection

Release 3 — day 21, dose 1

2021-02-03

Symptoms: I had tinnitus For the first time about three days after my vaccine. It was very strong the first day, And then receded to a slight constant high-pitched sound. I just wanted to let you know that that mild level of tinnitus continues 24/7 .

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Tinnitus (since first shot) continues unabated

2021-02-14

Systemic reaction (other): Continual mild tinnitus since first shot

2021-02-16

Systemic reaction (other): Tinnitus-Continual since A few days after the first vaccine

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Tinnitus, Which began after first vaccine has gotten somewhat worse in the past week

Release 5 — day 35, dose 2

2021-03-17

Symptoms: Tinnitus (Which began after first vaccine) Has worsened

Release 6 — day 42, dose 2

2021-03-24

Symptoms: Tinnitus increased

Healthcare visit (other): Acupuncture

Release 10 — days 1–6 daily, dose 3

2021-11-17

Systemic reaction (other): Some ringing in my ears

2021-11-18

Systemic reaction (other): Ringing in my ears

2021-11-19

Systemic reaction (other): Ringing in my ears

Release 10 — day 7, dose 3

2021-11-20

Systemic reaction (other): Ringing in my ears

Release 10 — day 14, dose 3

2021-11-27

Symptoms: High pitched ringing in my ears

Release 10 — day 21, dose 3

2021-12-04

Symptoms: Ringing in my ears

Release 10 — day 42, dose 3

2021-12-27

Symptoms: Still have tinnitus that did not resolve . But it is not worsening

Release 11 — 3 months, dose 3

2022-02-12

Symptoms: Tinnitus worse lately

Release 12 — 3 months, dose 4

2022-07-19

Symptoms: Sensations of warmth in my leg that may be nerve related. I have no reason to think it's related to the vaccine

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	Feeling hot	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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