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533-31960-12387

1 vaccination 7 coded responses 11 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
141 / NY
Registered
2021-07-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-09
    Registered in v-safe
  2. 2021-07-09
    Dose 1 — Moderna
  3. 2021-07-09
    Health check-in — day 0, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  4. 2021-07-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Balance disorder, Feeling abnormal — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Little balance issues. Feel like my BP is up, even though i took my meds.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-07-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Balance disorder, Ear discomfort — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Balance still a little off, ears still feel pressure.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-07-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Balance disorder — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Still slightly off balance
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-07-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain — Feeling: Fair · Headache
    Free text: Ears still hurt, very sensitive
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-07-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear discomfort, Tinnitus — Feeling: Fair · Headache
    Free text: Pressure in my ears, very sensitive, humming sound.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-07-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Erythema, Fluid retention, Hypersomnia — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Went to the Dr. He said u have fluid behind my ears, alot on my left ear. Redness, but no infection.giving me Flonase(?). Havent gotten it yet as it was an 820pm appointment. Ive been sleeping most of the day.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  10. 2021-07-16
    Survey response — day 7, dose 1
    MedDRA: Middle ear effusion — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Starting flonaise(?) Today for fluid build up behind ears, w/o infection.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-07-23
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-07-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-10-08
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-09Moderna No

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-10

Systemic reaction (other): Little balance issues. Feel like my BP is up, even though i took my meds.

2021-07-11

Systemic reaction (other): Balance still a little off, ears still feel pressure.

2021-07-12

Systemic reaction (other): Still slightly off balance

2021-07-13

Systemic reaction (other): Ears still hurt, very sensitive

2021-07-14

Systemic reaction (other): Pressure in my ears, very sensitive, humming sound.

2021-07-15

Systemic reaction (other): Went to the Dr. He said u have fluid behind my ears, alot on my left ear. Redness, but no infection.giving me Flonase(?). Havent gotten it yet as it was an 820pm appointment. Ive been sleeping most of the day.

Release 9 — day 7, dose 1

2021-07-16

Systemic reaction (other): Starting flonaise(?) Today for fluid build up behind ears, w/o infection.

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

FieldPreferred term2021-092023-042024-11
SROBalance disorder ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROErythema ✓ · ✓
SROFeeling abnormal ✓ ✓ ✓
SROFluid retention ✓ · ✓
SROHypersomnia ✓ · ✓
SROMiddle ear effusion · · ✓
SROTinnitus ✓ ✓ ✓

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