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
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2021-07-09
Registered in v-safe
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2021-07-09
Dose 1 — Moderna
- 2021-07-09
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2021-07-10
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder, Feeling abnormal — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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
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2021-07-11
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder, Ear discomfort — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Balance still a little off, ears still feel pressure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-12
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder — Feeling: Fair · Headache, Fatigue or tirednessFree text: Still slightly off balanceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-13
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain — Feeling: Fair · HeadacheFree text: Ears still hurt, very sensitiveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-14
Survey response — days 1–6 daily, dose 1MedDRA: Ear discomfort, Tinnitus — Feeling: Fair · HeadacheFree text: Pressure in my ears, very sensitive, humming sound.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-15
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Fluid retention, Hypersomnia — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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
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2021-07-16
Survey response — day 7, dose 1MedDRA: Middle ear effusion — Feeling: Fair · Headache, Fatigue or tirednessFree text: Starting flonaise(?) Today for fluid build up behind ears, w/o infection.MedDRA releases: 2024-11 · check-in free text available
- 2021-07-23
- 2021-07-30
- 2021-10-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-09 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Little balance issues. Feel like my BP is up, even though i took my meds.
Systemic reaction (other): Balance still a little off, ears still feel pressure.
Systemic reaction (other): Still slightly off balance
Systemic reaction (other): Ears still hurt, very sensitive
Systemic reaction (other): Pressure in my ears, very sensitive, humming sound.
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Fluid retention | ✓ | · | ✓ |
| SRO | Hypersomnia | ✓ | · | ✓ |
| SRO | Middle ear effusion | · | · | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release