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4NH-31533-91302

1 vaccination 4 coded responses 5 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
070 / NJ
Registered
2021-03-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Dose 1 — Moderna
  2. 2021-03-24
    Registered in v-safe
  3. 2021-03-24
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Hypersomnia, Medical counselling, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: first two weeks, great fatigue, frequent sleeping thru day and ringing in ears....now as of mar 24, 2021, naps are down to once a day, (untypical) but ringing in ears seem to be stronger...from morning to nite...not fun... · Healthcare visit (other): originally via calls to doctor re sleeping, great fatigue...today just call doctor regarding ringing in ears, am waiting for his call, will prob suggested having ears checked out, - am waiting for his call....
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-24
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-03-26
    Survey response — day 21, dose 1
    MedDRA: Headache, Office visit, Somnolence, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: Constant ringing in guess u call it, head.. today, left head which had brutal seconds of pain, 7 days post moderna kicking up all day, am still sleeping 10 hrs nite.. plus a lay down during day (totally untypical for me). Nose in head most harsh.. · Healthcare visit (other): Doctor Office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-26
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-04-12
    Survey response — day 35, dose 1
    MedDRA: Deafness, Pruritus, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Hearing loss and ringing in ears.. along with extreme itching left underarm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-16
    Survey response — day 42, dose 1
    MedDRA: Acoustic stimulation tests, Deafness, Office visit, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Loss of hearing and tinnitus .. very nasty · Healthcare visit (other): ENT doctor and hearing testing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-16
    Report sent to call center — day 42, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-06-06
    Health check-in — 3 months, dose 1
    Feeling: Poor
    Adult check-in
  11. 2021-12-15
  12. 2021-12-21
  13. 2021-12-28
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-24

Symptoms: first two weeks, great fatigue, frequent sleeping thru day and ringing in ears....now as of mar 24, 2021, naps are down to once a day, (untypical) but ringing in ears seem to be stronger...from morning to nite...not fun...
Healthcare visit (other): originally via calls to doctor re sleeping, great fatigue...today just call doctor regarding ringing in ears, am waiting for his call, will prob suggested having ears checked out, - am waiting for his call....

Release 6 — day 21, dose 1

2021-03-26

Symptoms: Constant ringing in guess u call it, head.. today, left head which had brutal seconds of pain, 7 days post moderna kicking up all day, am still sleeping 10 hrs nite.. plus a lay down during day (totally untypical for me). Nose in head most harsh.. cut off by CDC
Healthcare visit (other): Doctor Office

Release 7 — day 35, dose 1

2021-04-12

Symptoms: Hearing loss and ringing in ears.. along with extreme itching left underarm

Release 7 — day 42, dose 1

2021-04-16

Symptoms: Loss of hearing and tinnitus .. very nasty
Healthcare visit (other): ENT doctor and hearing testing

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
HCVOAcoustic stimulation tests ○ ✓ ○
HCVOFatigue ✓ ✓ ✓
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
HCVOTinnitus ✓ ✓ ✓
SDDeafness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypersomnia ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDSomnolence ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓

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