5MK-10710-81382

2 vaccinations 11 coded responses 15 check-ins 11 free-text entries 3 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 920 / CA
Registered: 2021-01-23

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-22
Dose 1 — Moderna
2021-01-23
Registered in v-safe
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Site: Pain · Headache

Free text: Buzz in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Buzzing in head and ears that wont go away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Headache

Free text: Buzzing in ears and head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — day 7, dose 1
MedDRA: Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Constant buzzing in head and ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — day 14, dose 1
MedDRA: Headache, Tinnitus — Feeling: Fair

Free text: Headache buzz in ears and head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Dose 2 — Moderna
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache

Free text: Still have ringing in my ears from the last time I got the injection its never gone away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Medical counselling, Tinnitus — Feeling: Good · Site: Pain · Headache · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Very bad ringing in both ears Im going to contact my doctor for a visit · Healthcare visit (other): Going to contact my doctor for Headache and ringing in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-27
Survey response — day 7, dose 2
MedDRA: Tinnitus, Unevaluable event — Feeling: Fair · Site: Pain · Headache · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Tinnitus ringing in the ears · Healthcare visit (other): Going to contact my doctor for an appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Headache, Memory impairment, Tinnitus — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Have extreme headache, buzzing in both ears, memory problems

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Call successful
Participant prefers to complete VAERS report online
2022-02-19
Survey response — 12 months, dose 2
MedDRA: Amnesia, Blindness transient, Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Headaches, memory loss, temporary vision loss

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-02-23
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Buzz in ears

2021-01-27

Systemic reaction (other): Buzzing in head and ears that wont go away

2021-01-28

Systemic reaction (other): Buzzing in ears and head

Release 3 — day 7, dose 1

2021-01-31

Systemic reaction (other): Constant buzzing in head and ears

Release 3 — day 14, dose 1

2021-02-07

Symptoms: Headache buzz in ears and head

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Still have ringing in my ears from the last time I got the injection its never gone away

2021-02-24

Systemic reaction (other): Tinnitus

2021-02-25

Systemic reaction (other): Very bad ringing in both ears Im going to contact my doctor for a visit

Healthcare visit (other): Going to contact my doctor for Headache and ringing in ears

Release 4 — day 7, dose 2

2021-02-27

Systemic reaction (other): Tinnitus ringing in the ears

Healthcare visit (other): Going to contact my doctor for an appointment

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Have extreme headache, buzzing in both ears, memory problems

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Headaches, memory loss, temporary vision loss

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	Headache	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Tinnitus	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Amnesia	·	·	✓
SD	Blindness transient	·	·	✓
SD	Headache	✓	✓	✓
SD	Memory impairment	✓	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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