4SR-33863-82933

3 vaccinations 18 coded responses 30 check-ins 18 free-text entries 1 call case

Sex: Male
Age at first dose: 61-65
ZIP prefix: 210 / MD
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Survey response — day 0, dose 1
MedDRA: Ear pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: A couple times had ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pyrexia — Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tiredness

Free text: Mainly I just felt fatigued and feverish overnight but not bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis, Pyrexia — Feeling: Fair · Fever · Headache, Fatigue or tiredness

Free text: Sweats and feverish during sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Site: Pain · Headache

Free text: ear ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Some minor ear ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Some ear ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 7, dose 1
MedDRA: Sinusitis, Tinnitus — Feeling: Good

Free text: Some sinus infection, ear ringing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — day 14, dose 1
MedDRA: Tinnitus — Feeling: Fair

Free text: My ears ringing more.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 21, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Ears ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Dose 2 — Moderna
2021-02-19
Survey response — day 0, dose 2
MedDRA: Tinnitus — Feeling: Good · Headache

Free text: Ears humming

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ears ringing and throbbing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Fever · Headache

Free text: Ear ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Tinnitus — Feeling: Fair · Site: Pain · Headache

Free text: Ear ring and feels clogging

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Tinnitus — Feeling: Fair · Site: Pain · Headache

Free text: Ear throbe and ringing or clogging.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Fair · Site: Pain · Headache

Free text: Ear throbbing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Headache

Free text: Ear ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 7, dose 2
MedDRA: Ear pain, Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Ear ringing and throbbing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Moderna
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-02
Survey response — day 35, dose 3
MedDRA: Cough, Feeling of body temperature change, Headache, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Heat cold, fever, headache, cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-05
Call 1 — Left Voicemail
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna
3	2021-09-28	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-22

Systemic reaction (other): A couple times had ear pain

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Mainly I just felt fatigued and feverish overnight but not bad

2021-01-24

Systemic reaction (other): Sweats and feverish during sleep.

2021-01-25

Systemic reaction (other): ear ringing

2021-01-27

Systemic reaction (other): Some minor ear ringing

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Some ear ringing

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Some sinus infection, ear ringing.

Release 3 — day 14, dose 1

2021-02-09

Symptoms: My ears ringing more.

Release 4 — day 21, dose 1

2021-02-12

Symptoms: Ears ringing

Release 4 — day 0, dose 2

2021-02-19

Systemic reaction (other): Ears humming

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Ears ringing and throbbing

2021-02-21

Systemic reaction (other): Ear ringing

2021-02-22

Systemic reaction (other): Ear ring and feels clogging

2021-02-23

Systemic reaction (other): Ear throbe and ringing or clogging.

2021-02-24

Systemic reaction (other): Ear throbbing

2021-02-25

Systemic reaction (other): Ear ringing

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Ear ringing and throbbing

Release 10 — day 35, dose 3

2021-11-02

Symptoms: Heat cold, fever, headache, cough

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	Cough	·	·	✓
SD	Feeling of body temperature change	·	·	✓
SD	Headache	·	·	✓
SD	Pyrexia	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sinusitis	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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