4Y6-99149-26701

3 vaccinations 4 coded responses 16 check-ins 4 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 952 / CA
Registered: 2021-02-16

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

2021-01-28
Dose 1 — Moderna
2021-02-16
Registered in v-safe
2021-02-16
Health check-in — day 14, dose 1
Feeling: Poor

Adult check-in
2021-02-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness — Feeling: Fair · Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: hearing loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Survey response — day 7, dose 2
MedDRA: Deafness, Office visit — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Hearing loss · Healthcare visit (other): ENT in person yesterday. Video appt with primary care today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — day 14, dose 2
MedDRA: Back pain, Deafness, Office visit, Physiotherapy, Tinnitus — 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, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Horrible debilitating back pain. Also, I'm suffering with tinnitus which has affected my hearing. I am 74 years old and have never had tinnitus in my life, nor hearing loss before. I have seen both my primary care and an ENT. · Healthcare visit (other): Also Physical Therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — day 21, dose 2
MedDRA: Back pain, Deafness, Headache, Neck pain, Office visit, Telemedicine, Tinnitus — Feeling: Poor · Be unable to work, 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: Symptoms: Worst because I am wary. I still have tinnitus and hearing loss, occasional headaches, and severe pain in my back and neck. · Healthcare visit (other): One in person doctor visit, three video visit with physicians, and audiology exam, x-rays of my neck and lower back, Physical Therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-11
Dose 3 — Moderna
2021-10-19
Call 1 — Left Voicemail
2021-10-25
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-11
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-26	Moderna
3	2021-09-11	Moderna	No

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): hearing loss

Release 5 — day 7, dose 2

2021-03-05

Systemic reaction (other): Hearing loss

Healthcare visit (other): ENT in person yesterday. Video appt with primary care today

Release 5 — day 14, dose 2

2021-03-13

Symptoms: Horrible debilitating back pain. Also, I'm suffering with tinnitus which has affected my hearing. I am 74 years old and have never had tinnitus in my life, nor hearing loss before. I have seen both my primary care and an ENT.

Healthcare visit (other): Also Physical Therapy

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Worst because I am wary. I still have tinnitus and hearing loss, occasional headaches, and severe pain in my back and neck.

Healthcare visit (other): One in person doctor visit, three video visit with physicians, and audiology exam, x-rays of my neck and lower back, Physical Therapy

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	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
HCVO	Telemedicine	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Deafness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Deafness	✓	✓	✓

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