5N2-26240-52783

3 vaccinations 31 coded responses 39 check-ins 31 free-text entries 6 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 496 / MI
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Moderna
2021-03-31
Survey response — day 0, dose 1
MedDRA: Tinnitus — Feeling: Good · Fatigue or tiredness

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Tinnitus

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: Oropharyngeal pain, Pruritus, Respiratory tract congestion, Tinnitus — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Tinnitus, sore throat, throat congestion, itchy all over (especially at night)

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: Oropharyngeal pain, Throat tightness, Tinnitus — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Tinnitus, sore throat, throat congestion

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: Oropharyngeal pain, Tinnitus, Upper respiratory tract congestion — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Tinnitus, sore throat, throat congestion

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: Oropharyngeal discomfort, Oropharyngeal pain, Tinnitus — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Tinnitus, sore throat, throat congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Respiratory tract congestion, Tinnitus — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Tinnitus, sore throat, throat congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 7, dose 1
MedDRA: Night sweats, Oropharyngeal pain, Respiratory tract congestion, Tinnitus — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Tinnitus, sore throat, throat congestion, night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Fatigue, Increased upper airway secretion, Night sweats, Oropharyngeal pain, Tinnitus — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Night sweats and fatigue worsened; mild to moderate sore throat and throat congestion continue; mild diarrhea; tinnitus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-28
Dose 2 — Moderna
2021-04-28
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphonia, Feeling abnormal, Oropharyngeal pain, Tinnitus, Upper-airway cough syndrome — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Brain fog; tinnitus; post-nasal drip; sore and froggy throat

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: Oropharyngeal pain, Sensation of foreign body, Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Sore/froggy throat, tinnitus

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: Night sweats, Oropharyngeal pain, Sensation of foreign body, Tinnitus — Feeling: Fair · Site: Swelling · Fever · Joint pains, Fatigue or tiredness

Free text: Sore/froggy throat; tinnitus; night sweats

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: Night sweats, Tinnitus — Feeling: Fair · Fever · Joint pains, Fatigue or tiredness

Free text: Night sweats; tinnitus

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: Night sweats, Tinnitus — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Night sweats, tinnitus

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: Night sweats — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Night sweats; tinnitus; sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 7, dose 2
MedDRA: Night sweats, Tinnitus — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Night sweats, tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 14, dose 2
MedDRA: Chills, Dysphonia, Fatigue, Joint swelling, Myalgia, Night sweats, Oropharyngeal pain, Rhinorrhoea, Tinnitus — Feeling: Fair

Free text: Chills, tinnitus, night sweats, fatigue, muscle aches, swollen joints, sore throat, raspy voice

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

Adult check-in
2021-05-26
Survey response — day 28, dose 2
MedDRA: Insomnia — Feeling: Good

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — day 35, dose 2
MedDRA: Eye pruritus — Feeling: Fair

Free text: Itchy eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Fatigue — Feeling: Fair

Free text: Joint pain, fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Dose 3 — Moderna
2021-11-20
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Eye pruritus, Ocular hyperaemia, Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Itchy red eyes, ringing in my ears, cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Oropharyngeal pain, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Ringing ears, sore throat, cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal distension, Cough, Laryngitis, Oropharyngeal pain, Tinnitus, Unevaluable event — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Abdominal bloating, laryngitis, ringing in ears, sore throat, cough · Healthcare visit (other): Sent an email to my doctor's patient portal

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal distension, Laryngitis, Oropharyngeal pain, Tinnitus — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Laryngitis, sore throat, ringing in ears, abdominal bloating

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Call 1 — Left Voicemail
2021-11-23
Call successful
Participant prefers to complete VAERS report online
2021-11-23
Call successful
Participant prefers to complete VAERS report online
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Laryngitis, Oropharyngeal pain, Tinnitus — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Laryngitis, sore throat, ringing in ears

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — day 7, dose 3
MedDRA: Eye pruritus, Laryngitis, Oropharyngeal pain, Tinnitus — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Laryngitis, ringing in ears, sore throat, itchy eyes

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — day 14, dose 3
MedDRA: Ear pain, Laryngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Laryngitis persists and has worsened; earache is new

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-03
Call 3 — Left Voicemail
2021-12-09
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-23
Survey response — day 35, dose 3
MedDRA: Diarrhoea — Feeling: Fair

Free text: Diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-17
Survey response — 3 months, dose 3
MedDRA: Abdominal distension, Cough, Eye pruritus, Fatigue, Headache, Laryngitis, Oropharyngeal pain, Pyrexia, Tinnitus — 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

Free text: Laryngitis, sore throat, hissing/whining in ears, low intermittent fever, itchy eyes, bloating, headache, cough, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-02-17
Report sent to call center — 3 months, dose 3
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 · 1 call case(s)
2022-02-18
Call 1 — Left Voicemail
2022-05-19
Survey response — 6 months, dose 3
MedDRA: Abdominal distension, Antinuclear antibody positive, Anxiety, Brain fog, Fatigue, Insomnia, Joint swelling, Lymphadenopathy, Oropharyngeal pain, Tinnitus, Unevaluable event — Feeling: Fair · 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

Free text: Symptoms: tested ANA Positive for autoimmune disease; sore throat, joint swelling, tinnitus, insomnia, anxiety's, abdominal bloating, swollen glands, fatigue, brain fog · Healthcare visit (other): MRI, sonography, colonoscopy, blood panels, biopsy

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Report sent to call center — 6 months, dose 3
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 · 1 call case(s)
2022-05-20
Call 1 — Left Voicemail
2022-05-20
Call 2 — Left Voicemail
2022-05-20
Call 1 — Left Voicemail
2022-11-20
Survey response — 12 months, dose 3
MedDRA: Abdominal distension, Alopecia, Antinuclear antibody positive, Epistaxis, Eye irritation, Fatigue, Laryngitis, Oropharyngeal pain, Pyrexia, Swelling, Tinnitus — 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

Free text: Autoimmune lab test positive. Fever, laryngitis, tinnitus, sore throat, hair loss, fatigue, bloody nose, irritated eyes, swollen neck, bloating.

MedDRA releases: 2024-11 · check-in free text available
2022-11-20
Report sent to call center — 12 months, dose 3
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 · 1 call case(s)
2022-11-21
Call 2 — Left Voicemail
2022-11-21
Call 3 — Left Voicemail
2022-11-21
Call 2 — Left Voicemail
2022-11-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-28	Moderna
3	2021-11-18	Moderna	No

Call center

6 call center cases

2 successful · 4 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-31

Systemic reaction (other): Tinnitus

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Tinnitus

2021-04-02

Systemic reaction (other): Tinnitus, sore throat, throat congestion, itchy all over (especially at night)

2021-04-03

Systemic reaction (other): Tinnitus, sore throat, throat congestion

2021-04-04

Systemic reaction (other): Tinnitus, sore throat, throat congestion

2021-04-05

Systemic reaction (other): Tinnitus, sore throat, throat congestion

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Tinnitus, sore throat, throat congestion

Release 7 — day 7, dose 1

2021-04-07

Systemic reaction (other): Tinnitus, sore throat, throat congestion, night sweats

Release 7 — day 14, dose 1

2021-04-14

Symptoms: Night sweats and fatigue worsened; mild to moderate sore throat and throat congestion continue; mild diarrhea; tinnitus.

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Brain fog; tinnitus; post-nasal drip; sore and froggy throat

2021-04-30

Systemic reaction (other): Sore/froggy throat, tinnitus

2021-05-01

Systemic reaction (other): Sore/froggy throat; tinnitus; night sweats

2021-05-02

Systemic reaction (other): Night sweats; tinnitus

2021-05-03

Systemic reaction (other): Night sweats, tinnitus

2021-05-04

Systemic reaction (other): Night sweats; tinnitus; sore throat

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Night sweats, tinnitus

Release 8 — day 14, dose 2

2021-05-12

Symptoms: Chills, tinnitus, night sweats, fatigue, muscle aches, swollen joints, sore throat, raspy voice

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Insomnia

Release 8 — day 35, dose 2

2021-06-02

Symptoms: Itchy eyes

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: Joint pain, fatigue

Release 10 — days 1–6 daily, dose 3

2021-11-20

Systemic reaction (other): Itchy red eyes, ringing in my ears, cough

2021-11-21

Systemic reaction (other): Ringing ears, sore throat, cough

2021-11-22

Systemic reaction (other): Abdominal bloating, laryngitis, ringing in ears, sore throat, cough

Healthcare visit (other): Sent an email to my doctor's patient portal

2021-11-23

Systemic reaction (other): Laryngitis, sore throat, ringing in ears, abdominal bloating

2021-11-24

Systemic reaction (other): Laryngitis, sore throat, ringing in ears

Release 10 — day 7, dose 3

2021-11-25

Systemic reaction (other): Laryngitis, ringing in ears, sore throat, itchy eyes

Release 10 — day 14, dose 3

2021-12-02

Symptoms: Laryngitis persists and has worsened; earache is new

Release 10 — day 35, dose 3

2021-12-23

Symptoms: Diarrhea

Release 11 — 3 months, dose 3

2022-02-17

Symptoms: Laryngitis, sore throat, hissing/whining in ears, low intermittent fever, itchy eyes, bloating, headache, cough, fatigue

Release 11 — 6 months, dose 3

2022-05-19

Symptoms: tested ANA Positive for autoimmune disease; sore throat, joint swelling, tinnitus, insomnia, anxiety's, abdominal bloating, swollen glands, fatigue, brain fog

Healthcare visit (other): MRI, sonography, colonoscopy, blood panels, biopsy

Release 12 — 12 months, dose 3

2022-11-20

Symptoms: Autoimmune lab test positive. Fever, laryngitis, tinnitus, sore throat, hair loss, fatigue, bloody nose, irritated eyes, swollen neck, bloating.

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	Unevaluable event	·	·	✓
SD	Abdominal distension	·	·	✓
SD	Alopecia	·	·	✓
SD	Antinuclear antibody positive	·	·	✓
SD	Anxiety	·	·	✓
SD	Arthralgia	·	·	✓
SD	Brain fog	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dysphonia	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Epistaxis	·	·	✓
SD	Eye irritation	·	·	✓
SD	Eye pruritus	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Increased upper airway secretion	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Laryngitis	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Night sweats	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	✓	✓	○
SD	Swelling	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Abdominal distension	·	·	✓
SRO	Cough	·	·	✓
SRO	Dysphonia	✓	✓	✓
SRO	Eye pruritus	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Laryngitis	·	·	✓
SRO	Night sweats	✓	✓	✓
SRO	Ocular hyperaemia	·	·	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sensation of foreign body	✓	✓	✓
SRO	Throat tightness	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Upper respiratory tract congestion	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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