5FA-11422-48607

4 vaccinations 9 coded responses 22 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 493 / MI
Registered: 2021-04-08

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

2021-04-07
Dose 1 — Moderna
2021-04-08
Registered in v-safe
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-05
Dose 2 — Moderna
2021-05-05
Survey response — day 0, dose 2
MedDRA: Intermenstrual bleeding, Tinnitus — Feeling: Good · Site: Pain

Free text: Tinnitus (before 2nd dose), Spotting during ovulation (before 2nd dose)

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: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Survey response — day 14, dose 2
MedDRA: Dehydration, Dry eye, Dry skin, Dry throat, Fatigue, Tinnitus — Feeling: Good

Free text: Fatigue- Just one afternoon, a nap was needed.Tinnitus- Short, loud ringing sometimes when shifting my head. Softer static sound when lying down, can last over a half hour.Dehydrated- Dry skin, throat, eyes, only 2 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 21, dose 2
MedDRA: Tinnitus, Vaginal discharge — Feeling: Good

Free text: tinnituschange in vaginal fluid consistency

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 28, dose 2
MedDRA: Sleep disorder, Tinnitus — Feeling: Good

Free text: Loud tinnitus (static in both ears) when laying down for bed and when waking up.Period started 1 day earlier than usual.

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

Free text: Tinnitus.Rash on back of hands, wrists, and ears.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — day 42, dose 2
MedDRA: Ear pruritus, Rash, Rash pruritic, Tinnitus — Feeling: Good

Free text: Tinnitus,Rash on back of hands and forearms,Itchy rash on ears, upper back, back of neck, and back of scalp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Survey response — 6 months, dose 2
MedDRA: Office visit, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: The tinnitus has gotten stronger. It started out mild and only when I laid my head down, but now it is louder and can come on any time of day (Still happens mostly in bed). I tried to get help from my pcp at my annual checkup, but he brushed me off.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-05
Call 1 — Left Voicemail
2021-12-02
Dose 3 — Moderna
2022-10-21
Dose 4 — Moderna

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2021-12-02	Moderna	No
4	2022-10-21	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-05-05

Systemic reaction (other): Tinnitus (before 2nd dose), Spotting during ovulation (before 2nd dose)

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): tinnitus

2021-05-11

Systemic reaction (other): Tinnitus

Release 8 — day 14, dose 2

2021-05-19

Symptoms: Fatigue- Just one afternoon, a nap was needed.Tinnitus- Short, loud ringing sometimes when shifting my head. Softer static sound when lying down, can last over a half hour.Dehydrated- Dry skin, throat, eyes, only 2 days.

Release 8 — day 21, dose 2

2021-05-27

Symptoms: tinnituschange in vaginal fluid consistency

Release 8 — day 28, dose 2

2021-06-03

Symptoms: Loud tinnitus (static in both ears) when laying down for bed and when waking up.Period started 1 day earlier than usual.

Release 9 — day 35, dose 2

2021-06-09

Symptoms: Tinnitus.Rash on back of hands, wrists, and ears.

Release 9 — day 42, dose 2

2021-06-17

Symptoms: Tinnitus,Rash on back of hands and forearms,Itchy rash on ears, upper back, back of neck, and back of scalp

Release 10 — 6 months, dose 2

2021-11-04

Symptoms: The tinnitus has gotten stronger. It started out mild and only when I laid my head down, but now it is louder and can come on any time of day (Still happens mostly in bed). I tried to get help from my pcp at my annual checkup, but he brushed me off. cut off by CDC

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	Dehydration	✓	✓	✓
SD	Dry eye	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Dry throat	✓	✓	✓
SD	Ear pruritus	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Office visit	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Vaginal discharge	✓	✓	✓
SRO	Intermenstrual bleeding	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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