4Z9-24389-04570

4 vaccinations 21 coded responses 52 check-ins 21 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 770 / TX
Registered: 2021-01-16

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Moderna
2021-01-16
Survey response — day 0, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Still have the ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Swelling

Free text: Still have the ring in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Swelling

Free text: Still have the ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Still have the ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Still have the ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — day 7, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Still have the ringing Lin my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-07
Survey response — day 21, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Still have the ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Dose 2 — Moderna
2021-02-13
Survey response — day 0, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain

Free text: Still have the ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: I still have ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Tinnitus — Feeling: Poor · Fever · Chills, Fatigue or tiredness

Free text: Plus the ringing in my ears. Yesterday I also had chills in the evening and 99.7

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Poor · Fever · Headache

Free text: Ring in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness

Free text: Ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Poor · Fever · Fatigue or tiredness

Free text: Ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-06
Survey response — day 21, dose 2
MedDRA: Tinnitus, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still have the ringing in my ears · Healthcare visit (other): Have appointment for March 10

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-27
Survey response — day 42, dose 2
MedDRA: Tinnitus, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ive been forgetting to mention that I continue having ringing in my ears since the first shot · Healthcare visit (other): Hearing center

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-17
Survey response — 3 months, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Still have the ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-14
Call 1 — Left Voicemail
2022-01-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-01
Survey response — 6 months, dose 3
MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat and cough

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-26
Dose 4 — Pfizer-BioNTech
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-25
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-26
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-13	Moderna
3	2021-10-29	Moderna	No
4	2022-05-26	Pfizer-BioNTech	No

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 2 — day 0, dose 1

2021-01-16

Systemic reaction (other): Ringing in my ears

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Still have the ringing in my ears

2021-01-18

Systemic reaction (other): Still have the ring in my ears

2021-01-19

Systemic reaction (other): Still have the ringing in my ears

2021-01-21

Systemic reaction (other): Still have the ringing in my ears

2021-01-22

Systemic reaction (other): Still have the ringing in my ears

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Still have the ringing Lin my ears

Release 3 — day 21, dose 1

2021-02-07

Symptoms: Still have the ringing in my ears

Release 4 — day 0, dose 2

2021-02-13

Systemic reaction (other): Still have the ringing in my ears

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Ringing in my ears

2021-02-15

Systemic reaction (other): I still have ringing in my ears

2021-02-16

Systemic reaction (other): Plus the ringing in my ears. Yesterday I also had chills in the evening and 99.7

2021-02-17

Systemic reaction (other): Ring in my ears

2021-02-18

Systemic reaction (other): Ringing in my ears

2021-02-19

Systemic reaction (other): Ringing in my ears

Release 4 — day 7, dose 2

2021-02-20

Systemic reaction (other): Ringing in my ears

Release 5 — day 21, dose 2

2021-03-06

Symptoms: Still have the ringing in my ears

Healthcare visit (other): Have appointment for March 10

Release 6 — day 42, dose 2

2021-03-27

Symptoms: Ive been forgetting to mention that I continue having ringing in my ears since the first shot

Healthcare visit (other): Hearing center

Release 8 — 3 months, dose 2

2021-05-17

Symptoms: Still have the ringing in my ears

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Runny nose

Release 11 — 6 months, dose 3

2022-05-01

Symptoms: Sore throat and 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
HCVO	Unevaluable event	✓	✓	✓
SD	Cough	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Tinnitus	✓	✓	✓

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