5BL-32372-28067

2 vaccinations 20 coded responses 25 check-ins 20 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 801 / CO
Registered: 2021-04-06

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Moderna
2021-04-06
Health check-in — day 0, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Feeling hot, Flushing, Pyrexia — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Diarrhea

Free text: Fuzzy Brain and Face Flushed Hot as Fever Kicked In

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dry skin, Feeling hot, Ocular discomfort, Paraesthesia, Tinnitus — Feeling: Fair · Fever · Abdominal pain

Free text: Pressure in the Eyes, Hot & Prickly Face, Ringing in the Ears, Exceptionally Dry Skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Hot flush, Ocular discomfort, Tinnitus — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Ears Ringing - Pressure in the Eyes -Hot Itchy Face - Blotchy Red Upper Chest

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

Free text: Ears Ringing, Pressure on the Eyes, Hot Face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dry skin, Hypoaesthesia, Intranasal hypoaesthesia, Ocular discomfort, Tinnitus — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Abdominal pain

Free text: Ringing in the Ears - Pressure in the Eyes - Suoer Dry Skin - Nose Feels Numb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 7, dose 1
MedDRA: Tinnitus — Feeling: Fair · Site: Itching · Fever · Abdominal pain

Free text: Ears Ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Abnormal dreams, Diarrhoea, Fatigue, Hypersomnia, Pyrexia, Rhinorrhoea, Tinnitus — Feeling: Fair

Free text: Sleeping Much Longer & Dreaming More102.3 Degrees of Heat Between Lips & NoseContinued Daily: Fatigue1-2 Degree FeversEar RingingAbdominal PainDiarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 21, dose 1
MedDRA: Headache, Intermenstrual bleeding, Tinnitus — Feeling: Fair

Free text: Breakthrough Flow (Period) despite 3 years since Final Flow.Ringing in EarsHeadache99.1 Fever (normal for me is 97.3)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Dose 2 — Moderna
2021-05-04
Survey response — day 0, dose 2
MedDRA: Ocular discomfort, Tinnitus — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Abdominal pain

Free text: Ringing in the Ears and Preasure in the Eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Ocular discomfort, Oropharyngeal pain, Tinnitus — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Fatigue or tiredness, Abdominal pain

Free text: Ears Ringing - Pressure in the Eyes - Sore Throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Ocular discomfort, Somnolence, Tinnitus — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Ringing in the Ears - Pressure in the Eyes - Sleeping More

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: Ears Ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Abdominal pain

Free text: Ringing in the Ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Abdominal pain

Free text: Ears Ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-05-23
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Survey response — day 21, dose 2
MedDRA: Feeling hot, Oropharyngeal pain, Pruritus, Pyrexia — Feeling: Fair

Free text: Fever of 98.9Hot & Itchy FaceSore Throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — day 28, dose 2
MedDRA: Dizziness, Nausea, Tinnitus — Feeling: Fair

Free text: Ringing in the EarsDizziness & Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — day 35, dose 2
MedDRA: Dizziness, Pruritus, Rash, Tinnitus — Feeling: Fair

Free text: Ringing in the EarsItchy Dry FaceDizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-06
Survey response — 3 months, dose 2
MedDRA: Epistaxis, Menstruation irregular, Palpitations, Postmenopausal haemorrhage — Feeling: Fair · Be unable to do your normal daily activities

Free text: More Menstrual Periods - Despite Being Three Years Past MenopauseNosebleedsHeart Palpitations

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-02
Survey response — 6 months, dose 2
MedDRA: Herpes virus infection, Office visit, Rash, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ringing in the Ears Stubborn Rash on Forehead - Initially diagnosed as Shingles, but turned out to be non-Shingles Herpes Rash · Healthcare visit (other): Primary Doc & Opthamologist & Infectious Disease Specialist

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-03
Call 1 — Left Voicemail
2022-05-06
Survey response — 12 months, dose 2
MedDRA: Neuropathy peripheral, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Neuropathy (never had it before) · Healthcare visit (other): Saw my Primary doc. She referred me to a Neurologist.

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-09
Call successful
Participant prefers to complete VAERS report online
2022-05-09
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-04	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Fuzzy Brain and Face Flushed Hot as Fever Kicked In

2021-04-09

Systemic reaction (other): Pressure in the Eyes, Hot & Prickly Face, Ringing in the Ears, Exceptionally Dry Skin

2021-04-10

Systemic reaction (other): Ears Ringing - Pressure in the Eyes -Hot Itchy Face - Blotchy Red Upper Chest

2021-04-11

Systemic reaction (other): Ears Ringing, Pressure on the Eyes, Hot Face

2021-04-12

Systemic reaction (other): Ringing in the Ears - Pressure in the Eyes - Suoer Dry Skin - Nose Feels Numb

Release 7 — day 7, dose 1

2021-04-13

Systemic reaction (other): Ears Ringing

Release 7 — day 14, dose 1

2021-04-20

Symptoms: Sleeping Much Longer & Dreaming More102.3 Degrees of Heat Between Lips & NoseContinued Daily: Fatigue1-2 Degree FeversEar RingingAbdominal PainDiarrhea

Release 8 — day 21, dose 1

2021-04-27

Symptoms: Breakthrough Flow (Period) despite 3 years since Final Flow.Ringing in EarsHeadache99.1 Fever (normal for me is 97.3)

Release 8 — day 0, dose 2

2021-05-04

Systemic reaction (other): Ringing in the Ears and Preasure in the Eyes

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Ears Ringing - Pressure in the Eyes - Sore Throat

2021-05-06

Systemic reaction (other): Ringing in the Ears - Pressure in the Eyes - Sleeping More

2021-05-08

Systemic reaction (other): Ears Ringing

2021-05-09

Systemic reaction (other): Ringing in the Ears

2021-05-10

Systemic reaction (other): Ears Ringing

Release 8 — day 21, dose 2

2021-05-26

Symptoms: Fever of 98.9Hot & Itchy FaceSore Throat

Release 8 — day 28, dose 2

2021-06-02

Symptoms: Ringing in the EarsDizziness & Nausea

Release 9 — day 35, dose 2

2021-06-09

Symptoms: Ringing in the EarsItchy Dry FaceDizziness

Release 9 — 3 months, dose 2

2021-08-06

Symptoms: More Menstrual Periods - Despite Being Three Years Past MenopauseNosebleedsHeart Palpitations

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: Ringing in the Ears Stubborn Rash on Forehead - Initially diagnosed as Shingles, but turned out to be non-Shingles Herpes Rash

Healthcare visit (other): Primary Doc & Opthamologist & Infectious Disease Specialist

Release 11 — 12 months, dose 2

2022-05-06

Symptoms: Neuropathy (never had it before)

Healthcare visit (other): Saw my Primary doc. She referred me to a Neurologist.

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	Office visit	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Abnormal dreams	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Epistaxis	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Herpes virus infection	·	·	✓
SD	Hypersomnia	✓	✓	✓
SD	Intermenstrual bleeding	✓	✓	✓
SD	Menstruation irregular	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Neuropathy peripheral	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Palpitations	✓	·	✓
SD	Postmenopausal haemorrhage	✓	·	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dry skin	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hypoaesthesia	○	✓	○
SRO	Intranasal hypoaesthesia	✓	·	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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