5T5-25150-16287

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 334 / FL
Registered: 2021-04-13

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-13
Registered in v-safe
2021-04-13
Dose 1 — Moderna
2021-04-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-11
Dose 2 — Moderna
2021-05-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Muscle or body aches

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-01
Survey response — day 21, dose 2
MedDRA: Ear discomfort, Migraine, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe Migraine Headaches, and clogged ears. · Healthcare visit (other): Have upcoming PCP appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Survey response — day 28, dose 2
MedDRA: Ear discomfort, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: My ears are clogged, which is not normal since I dont have any type of allergies. · Healthcare visit (other): I have a scheduled appointment for 06/10/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Survey response — day 35, dose 2
MedDRA: Hypoacusis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: My hearing is muffled. It feels like I have a sinus infection affecting my ears. · Healthcare visit (other): Appointment scheduled with PCP.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Call 1 — Left Voicemail
2021-06-22
Survey response — day 42, dose 2
MedDRA: Blood calcium increased, Blood parathyroid hormone increased, Specialist consultation — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Elevated Calcium and PTH levels. I have never had any issues with my Thyroid, and now I have to go to a Endocrinologist for further evaluation. · Healthcare visit (other): Office visit with PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-28
Call 1 — Left Voicemail
2021-08-10
Survey response — 3 months, dose 2
MedDRA: Deafness unilateral, Middle ear effusion, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hearing loss in left ear, which is the same side that the vaccination was given. Per PCP Provider theres fluid in the inner ear. · Healthcare visit (other): Seen by PCP Provider, and given antibiotics which have not worked.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Moderna
2	2021-05-11	Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 8 — day 21, dose 2

2021-06-01

Symptoms: Severe Migraine Headaches, and clogged ears.

Healthcare visit (other): Have upcoming PCP appointment

Release 8 — day 28, dose 2

2021-06-08

Symptoms: My ears are clogged, which is not normal since I dont have any type of allergies.

Healthcare visit (other): I have a scheduled appointment for 06/10/21

Release 9 — day 35, dose 2

2021-06-15

Symptoms: My hearing is muffled. It feels like I have a sinus infection affecting my ears.

Healthcare visit (other): Appointment scheduled with PCP.

Release 9 — day 42, dose 2

2021-06-22

Symptoms: Elevated Calcium and PTH levels. I have never had any issues with my Thyroid, and now I have to go to a Endocrinologist for further evaluation.

Healthcare visit (other): Office visit with PCP

Release 9 — 3 months, dose 2

2021-08-10

Symptoms: Hearing loss in left ear, which is the same side that the vaccination was given. Per PCP Provider theres fluid in the inner ear.

Healthcare visit (other): Seen by PCP Provider, and given antibiotics which have not worked.

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	✓	·	✓
HCVO	Specialist consultation	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Blood calcium increased	✓	✓	✓
SD	Blood parathyroid hormone increased	✓	✓	✓
SD	Deafness unilateral	✓	·	✓
SD	Ear discomfort	✓	✓	✓
SD	Hypoacusis	✓	✓	✓
SD	Middle ear effusion	✓	·	✓
SD	Migraine	✓	✓	✓
SD	Office visit	✓	·	✓

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