4ZM-64189-88465

4 vaccinations 11 coded responses 33 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 342 / FL
Registered: 2021-03-15

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-15
Registered in v-safe
2021-03-15
Dose 1 — Moderna
2021-03-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Site: Pain

Free text: Since my shot. My Tinnitus ear ringingnis mych louder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — day 7, dose 1
MedDRA: Pre-existing disease, Tinnitus — Feeling: Good

Free text: Tinnitus ringing is much higher pitched and louder so ce the shot with no improvement.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Moderna
2021-04-12
Survey response — day 0, dose 2
MedDRA: Dizziness, Tinnitus — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: My Tinnitus has gotten extremely loud. I have felt lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Heavyness in my chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Tinnitus is very loud

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Injection site warmth, Pyrexia — Feeling: Good · Site: Pain

Free text: Injection site has been hot for 3 days. I also had a low grade fever ladt night for 3 hours, then broke out in a sweat and was fine ever since.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Body temperature increased, Dizziness, Insomnia, Tinnitus — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Tinnitus is extremely loud. Dizziness. Last night after 9 ran a low grade fever 99.2 for 2 hours. Up all night from abdominal pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: Tinnitus is super loud still.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — day 14, dose 2
MedDRA: Fatigue, Tinnitus — Feeling: Good

Free text: Still have fatigue and loud Tinnitus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-29
Dose 3 — Moderna
2022-04-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-11-02
Dose 4 — Moderna
2022-11-19
Survey response — day 14, dose 4
MedDRA: COVID-19, Fatigue, Malaise, Oropharyngeal pain, SARS-CoV-2 test positive, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities

Free text: After my vaccination I got extremely sick for 4 days. Then it lingered. Then on the 15th I started to feel sick with a soar throat. Then it was exhaustion and sinus. Then on the 17thI tested positive for COVID. I have COVID! I was fine before theshot

MedDRA releases: 2024-11 · check-in free text available
2022-11-23
Survey response — day 21, dose 4
MedDRA: Chest discomfort, Cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Coughing and heaviness in the chest.

MedDRA releases: 2024-11 · check-in free text available
2022-11-30
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-12-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-14
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-02-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-12	Moderna
3	2021-11-29	Moderna	No
4	2022-11-02	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Since my shot. My Tinnitus ear ringingnis mych louder.

Release 6 — day 7, dose 1

2021-03-22

Systemic reaction (other): Tinnitus ringing is much higher pitched and louder so ce the shot with no improvement.

Release 7 — day 0, dose 2

2021-04-12

Systemic reaction (other): My Tinnitus has gotten extremely loud. I have felt lightheaded

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Heavyness in my chest

2021-04-14

Systemic reaction (other): Tinnitus is very loud

2021-04-15

Systemic reaction (other): Injection site has been hot for 3 days. I also had a low grade fever ladt night for 3 hours, then broke out in a sweat and was fine ever since.

2021-04-16

Systemic reaction (other): Tinnitus is extremely loud. Dizziness. Last night after 9 ran a low grade fever 99.2 for 2 hours. Up all night from abdominal pain.

2021-04-17

Systemic reaction (other): Tinnitus is super loud still.

Release 8 — day 14, dose 2

2021-04-26

Symptoms: Still have fatigue and loud Tinnitus.

Release 12 — day 14, dose 4

2022-11-19

Symptoms: After my vaccination I got extremely sick for 4 days. Then it lingered. Then on the 15th I started to feel sick with a soar throat. Then it was exhaustion and sinus. Then on the 17thI tested positive for COVID. I have COVID! I was fine before theshot cut off by CDC

Release 12 — day 21, dose 4

2022-11-23

Symptoms: Coughing and heaviness in the chest.

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	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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