4YV-24573-30025

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 857 / AZ
Registered: 2021-03-12

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

2021-03-11
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — day 14, dose 1
MedDRA: Hyperacusis, Insomnia, Tinnitus — Feeling: Good

Free text: Louder ear ringing and problems sleeping but I don't know if that's related to the vaccination or not

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 21, dose 1
MedDRA: Neurological symptom, Tinnitus — Feeling: Fair

Free text: Loud ear ringing has not gone away. Also get weird neurological feelings in my arms and legs like my clothes are touching me in places that they are not

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Dose 2 — Moderna
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itchy skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Nausea, Tinnitus — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: The ear ringing that started with the first modernist shot has now become louder and I now have dizziness and nausea as well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Sinus pain — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sinus and ear pain i believe the shot overloaded my immune system

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I believe that my symptoms are not related to the vaccine and more likely a cold or sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: These symptoms were a reaction to a new medication but I thought I would make a note of it anyway for your records

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 28, dose 2
MedDRA: Oropharyngeal pain, Pyrexia, Sneezing — Feeling: Fair · 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: Sneezing sore throat fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Rash pruritic — Feeling: Fair · Be unable to do your normal daily activities

Free text: Brachial radial pruritus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-05-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-25

Symptoms: Louder ear ringing and problems sleeping but I don't know if that's related to the vaccination or not

Release 6 — day 21, dose 1

2021-04-01

Symptoms: Loud ear ringing has not gone away. Also get weird neurological feelings in my arms and legs like my clothes are touching me in places that they are not

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Itchy skin

2021-04-11

Systemic reaction (other): The ear ringing that started with the first modernist shot has now become louder and I now have dizziness and nausea as well

2021-04-12

Systemic reaction (other): Sinus and ear pain i believe the shot overloaded my immune system

2021-04-14

Systemic reaction (other): I believe that my symptoms are not related to the vaccine and more likely a cold or sinus infection

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): These symptoms were a reaction to a new medication but I thought I would make a note of it anyway for your records

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Sneezing sore throat fever

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Brachial radial pruritus

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	Hyperacusis	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Neurological symptom	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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