56B-43524-05221

4 vaccinations 22 coded responses 44 check-ins 22 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 770 / TX
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Moderna
2021-03-30
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Redness

Free text: Lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoacusis, Limb mass, Tenderness — Feeling: Fair · Site: Swelling · Fever

Free text: Past 2 days a lump on inside crease of my elbow same side as my injection,tender to touch and it feels fatty,it was not there before, inside of my ears like they are muffled

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

Free text: Ear feels muffled

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoacusis, Lipoma, Mass, Swelling — Feeling: Fair · Fatigue or tiredness

Free text: Swelling lipoma lump on inside of elbow,ears sound muffled still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoacusis, Skin mass — Feeling: Fair · Fever · Headache

Free text: Muffled ears, lump still golf ball size on inside of left elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoacusis, Lymphoma — Feeling: Fair · Fever

Free text: Muffled hearimg in ears and lump(lypoma inside of my elbow)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 1
MedDRA: Hypoacusis, Peripheral swelling — Feeling: Fair · Fever

Free text: Swelling inside of elbow going down half of golf ball size and ears are still muffled similar to water being in ears not being able to hear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 14, dose 1
MedDRA: Ear discomfort, Feeling hot, Nodule, Pyrexia, Tinnitus — Feeling: Fair

Free text: RINGING NON STOP IN both ears.Tbe prssure is still there and the ringing -barely can hear. Lump golf ball size insude of elbow,Similar to golfball in size-i feel feverish warm almost every day similar to menopause hit flashes it comes on and goes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-28
Dose 2 — Moderna
2021-04-28
Survey response — day 0, dose 2
MedDRA: Deafness, Eye swelling, Injection site swelling, Joint swelling, Tinnitus — Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Fatigue or tiredness

Free text: Hearing loss has returned w/ constant ringing, inside elbow golf ball swelling same side as injection,eyes feel sunken and swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Feeling cold, Feeling hot, Injection site mass, Musculoskeletal stiffness, Pain in extremity, Pyrexia, Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Ringing in ear,loss of hearing,lefr arm painful,body very warm feverish very cold,my body feels stiff and brittle,small lump where injection given

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness, Pain, Tinnitus — Feeling: Fair · Site: Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Eyeballs were sore,ringing in ears,loss of hearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness, Headache, Musculoskeletal stiffness, Pain, Pain in extremity, Tinnitus, Vaccine positive rechallenge — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Pain in left arm still lump from #1#2 vac left arm pain when lifting,, hearing loss and ringing in ears,i feel stiff and brittle,headache is in the same location top scalp aligned with ears and behind eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Deafness, Tinnitus — Feeling: Fair · Site: Redness, Swelling, Itching

Free text: Loss of hearing,ringing in ears,lump on inside of my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness, Tinnitus — Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Hearing loss ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Hypoacusis, Mass, Tinnitus — Feeling: Fair · Site: Redness, Swelling, Itching

Free text: Ringing and limited hearing ability in both my ears, fluid filled lump inside of my elbow same side as vaccs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 7, dose 2
MedDRA: Deafness, Tinnitus — Feeling: Fair · Site: Redness, Swelling

Free text: Hearing loss/ringing in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 14, dose 2
MedDRA: Deafness, Mass, Tinnitus — Feeling: Good

Free text: Hearing loss/ringing in ears still the same, and the golfball size lump on inside of elbow same side as vaccine still there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 21, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus still ringing in my ears since vaccine 1 & 2.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-22
Dose 3 — Moderna
2021-11-22
Survey response — day 0, dose 3
MedDRA: Tinnitus — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: I only got this less than a hour ago.Ears ringing like the previous 2 vaccines

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-11-29
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-12-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-05
Dose 4 — Moderna
Co-administered: Tetanus
2022-06-05
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-06-06
Survey response — days 1–6 daily, dose 4
MedDRA: Photophobia — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Eyeballs very sensitive tp light

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-08
Survey response — days 1–6 daily, dose 4
MedDRA: Eye pain — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eyeballs hurt

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Survey response — days 1–6 daily, dose 4
MedDRA: Ageusia, Anosmia, Paranasal sinus discomfort, Sinus congestion, Tenderness — Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Congestestion/sinus pressure, Loss smell/taste,eyeballs sensitive

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-28	Moderna
3	2021-11-22	Moderna	No
4	2022-06-05	Moderna	Tetanus

Free text

Release 6 — day 0, dose 1

2021-03-30

Systemic reaction (other): Lightheaded

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Past 2 days a lump on inside crease of my elbow same side as my injection,tender to touch and it feels fatty,it was not there before, inside of my ears like they are muffled

2021-04-02

Systemic reaction (other): Ear feels muffled

2021-04-03

Systemic reaction (other): Swelling lipoma lump on inside of elbow,ears sound muffled still

2021-04-04

Systemic reaction (other): Muffled ears, lump still golf ball size on inside of left elbow

2021-04-05

Systemic reaction (other): Muffled hearimg in ears and lump(lypoma inside of my elbow)

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): Swelling inside of elbow going down half of golf ball size and ears are still muffled similar to water being in ears not being able to hear

Release 7 — day 14, dose 1

2021-04-13

Symptoms: RINGING NON STOP IN both ears.Tbe prssure is still there and the ringing -barely can hear. Lump golf ball size insude of elbow,Similar to golfball in size-i feel feverish warm almost every day similar to menopause hit flashes it comes on and goes. cut off by CDC

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): Hearing loss has returned w/ constant ringing, inside elbow golf ball swelling same side as injection,eyes feel sunken and swollen

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Ringing in ear,loss of hearing,lefr arm painful,body very warm feverish very cold,my body feels stiff and brittle,small lump where injection given

2021-04-30

Systemic reaction (other): Eyeballs were sore,ringing in ears,loss of hearing

2021-05-01

Systemic reaction (other): Pain in left arm still lump from #1#2 vac left arm pain when lifting,, hearing loss and ringing in ears,i feel stiff and brittle,headache is in the same location top scalp aligned with ears and behind eyes

2021-05-02

Systemic reaction (other): Loss of hearing,ringing in ears,lump on inside of my arm.

2021-05-03

Systemic reaction (other): Hearing loss ringing

2021-05-04

Systemic reaction (other): Ringing and limited hearing ability in both my ears, fluid filled lump inside of my elbow same side as vaccs

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Hearing loss/ringing in ears

Release 8 — day 14, dose 2

2021-05-12

Symptoms: Hearing loss/ringing in ears still the same, and the golfball size lump on inside of elbow same side as vaccine still there.

Release 8 — day 21, dose 2

2021-05-19

Symptoms: Tinnitus still ringing in my ears since vaccine 1 & 2.

Release 10 — day 0, dose 3

2021-11-22

Systemic reaction (other): I only got this less than a hour ago.Ears ringing like the previous 2 vaccines

Release 11 — days 1–6 daily, dose 4

2022-06-06

Systemic reaction (other): Eyeballs very sensitive tp light

2022-06-08

Systemic reaction (other): Eyeballs hurt

Release 12 — days 1–6 daily, dose 4

2022-06-10

Systemic reaction (other): Congestestion/sinus pressure, Loss smell/taste,eyeballs sensitive

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	Deafness	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Mass	✓	✓	✓
SD	Nodule	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Ageusia	·	·	✓
SRO	Anosmia	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Axillary mass	✓	✓	✓
SRO	Deafness	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Eye pain	·	·	✓
SRO	Eye swelling	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoacusis	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Limb mass	✓	✓	✓
SRO	Lipoma	✓	✓	✓
SRO	Lymphoma	✓	✓	✓
SRO	Mass	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paranasal sinus discomfort	·	·	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Photophobia	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sinus congestion	·	·	✓
SRO	Skin mass	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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