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
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2021-03-05
Dose 1 — Moderna
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2021-03-24
Registered in v-safe
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2021-03-24
Survey response — day 14, dose 1MedDRA: Fatigue, Hypersomnia, Medical counselling, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree 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
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2021-03-24
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-26
Survey response — day 21, dose 1MedDRA: 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 visitFree 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 OfficeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-12
Survey response — day 35, dose 1MedDRA: Deafness, Pruritus, Tinnitus — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Hearing loss and ringing in ears.. along with extreme itching left underarmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 42, dose 1MedDRA: 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 professionalFree text: Symptoms: Loss of hearing and tinnitus .. very nasty · Healthcare visit (other): ENT doctor and hearing testingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Report sent to call center — day 42, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-06
- 2021-12-15
- 2021-12-21
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2021-12-28
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna |
Call center
3 call center cases
3 successful
1 wait over 3 months for a first call
Free text
Release 6 — day 14, dose 1
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
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
Symptoms: Hearing loss and ringing in ears.. along with extreme itching left underarm
Release 7 — day 42, dose 1
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Acoustic stimulation tests | ○ | ✓ | ○ |
| HCVO | Fatigue | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Tinnitus | ✓ | ✓ | ✓ |
| SD | Deafness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersomnia | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release