66P-32477-53424

3 vaccinations 30 coded responses 32 check-ins 30 free-text entries 8 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 980 / WA
Registered: 2021-02-07

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

2021-02-01
Dose 1 — Moderna
2021-02-07
Registered in v-safe
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Eye pain, Headache, Hyperhidrosis, Hypoaesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Free text: My hand on the injection side went numb for several hours after the injection. I had electrical type zingers that started by my left eye and then throughout my head and torso. I woke up drenched in sweat with rumbling gut.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 7, dose 1
MedDRA: Electric shock sensation, Hyperhidrosis, Insomnia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Electrical/zinger sensations in my head and body. Total drenching sweats at night and unable to sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 14, dose 1
MedDRA: Headache, Insomnia, Nausea, Night sweats, Pain, Pain in extremity — Feeling: Good

Free text: For 4 days I used ice + tylenol +rest to manage headache and arm pain + intense zingers in my head and torso + nausea +gastro pain + night sweats + insomnia. Back of arm was sore for 6 days. Mouth canker sores on day 7.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 21, dose 1
MedDRA: Abdominal discomfort, Headache, Nausea, Office visit, SARS-CoV-2 test negative, Tinnitus — Feeling: Poor · 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: My ears are ringing really loud all day and all night. I am going to see an audiologist tomorrow. My stomach is still upset and a headache. I went to the Dr yesterday and got a prescription for the nausea. I was tested for Covid, It was negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Dose 2 — Moderna
2021-03-01
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams, Paraesthesia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Nerve tingling, wild dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: My ears are ringing really loud. Started after the first shot and has gotten louder. Will require hearing aids to counteract the ringing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness unilateral, Ear discomfort, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: My left ear is totally blocked and i can't hear anything, plus both ears are ringing very loudly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness unilateral, Office visit, Tinnitus — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): The ringing in my ears was so bad i got hearing aids today. I have lost all hearing in one ear. · Healthcare visit (other): Audiology

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness, Specialist consultation, Tinnitus — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Ringing in my ears is intense, no hearing on one ear · Healthcare visit (other): Specialist Dr appt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness unilateral, Ear discomfort, Tinnitus — Feeling: Poor · Fever · Headache, Fatigue or tiredness · 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: I cannot hear out of one ear, it feels blocked, plus both ears are ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-08
Survey response — day 7, dose 2
MedDRA: Deafness unilateral, Tinnitus, Unevaluable event — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I can't hear out of one ear, both ears are ringing · Healthcare visit (other): Going to ENT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Flatulence, Headache, Muscle spasms, Office visit, Sleep disorder, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have had severe cramping, gas and the runs.My ears are ringing non stop all day and night.Sleeping is impacted by getting up to use the bathroom.I have not gotten rid of my headache since the first shot which is highly annoying. · Healthcare visit (other): In person Dr appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Survey response — day 21, dose 2
MedDRA: Sleep disorder, Tinnitus — Feeling: Fair

Free text: My ears are still ringing very loudly.I am having trouble sleeping.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 28, dose 2
MedDRA: Insomnia, Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My ears are ringing non stop and I can't sleep. · Healthcare visit (other): In person dr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-05
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Insomnia, Tinnitus — Feeling: Fair

Free text: Gastro upset in addition to severe tinnitus. Unable to sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 42, dose 2
MedDRA: Insomnia, Tinnitus — Feeling: Fair

Free text: My ears are ringing so loud and i am unable to sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-16
Call 1 — Left Voicemail
2021-08-16
Call 1 — Left Voicemail
2021-08-16
Call 1 — Left Voicemail
2021-08-16
Call 1 — Left Voicemail
2021-08-16
Call 1 — Left Voicemail
2021-08-16
Call 1 — Left Voicemail
2021-08-16
Call 1 — Left Voicemail
2021-08-30
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-05
Dose 3 — Moderna
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Loud ringing in ears

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Sleep disorder, Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: The ringing in my ears is so loud i could hardly sleep.

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My brain must be pretty impacted because the ringing is horrible, nonstop and loud

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Incredibly loud ringing in my head with no off button

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Disturbance in attention, Hypoacusis, Insomnia, Tinnitus — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The ringing in my head is super intense and makes it hard to hear, sleep or concentrate.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 7, dose 3
MedDRA: Disturbance in attention, Hypoacusis, Sleep disorder, Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: incredibly loud ringing in my brain that affects my hearing, concentration and sleep.

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — day 14, dose 3
MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: The sounds in my brain are getting louder and more distracting.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 21, dose 3
MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: My poor brain is making lots of noise as the neurons bang into each other. The tinnitus is vety bad!

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — day 28, dose 3
MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: The ringing in my ears is super loud and i wish i could see into my brain to discover what is going on in there.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — day 35, dose 3
MedDRA: Oropharyngeal pain, Tinnitus, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: In addition to terrible ringing in my ears, i have had a sore throat and post Nasal drip for over a week.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — day 42, dose 3
MedDRA: Insomnia, Oropharyngeal pain, Paranasal sinus hypersecretion, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have significant ringing in my ears that is non stop and is really loud even at night which keeps me awake. I also have constant sinus drainage and sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Survey response — 3 months, dose 3
MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: My ears ring loudly night and day and if terribly distracting.

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — 6 months, dose 3
MedDRA: Anxiety, Hearing aid therapy, Poor quality sleep, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: I am not sleeping well. I am more anxious which has never been am issue for me. My ears continue to ring non stop, louder than the chimes in the hearing aids i had to get to counteract the severe tinnitus. It is a constant reminder of my shots.

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Survey response — 12 months, dose 3
MedDRA: Tinnitus, Unevaluable event — Feeling: Poor · 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: There is a new higher pitch sound with my tinnitus that is very loud and always present. · Healthcare visit (other): Going to see ENT doctor

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-07
Call successful
Not applicable - Accidental Reporting
2022-11-07
Call successful
Not applicable - Accidental Reporting
2022-11-07
Call successful
Not applicable - Accidental Reporting
2022-11-07
Call successful
Not applicable - Accidental Reporting
2022-11-07
Call successful
Not applicable - Accidental Reporting
2022-11-07
Call successful
Not applicable - Accidental Reporting
2022-11-07
Call successful
Not applicable - Accidental Reporting
2022-11-07
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna
3	2021-11-05	Moderna	No

Call center

8 call center cases

8 successful

7 waits over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): My hand on the injection side went numb for several hours after the injection. I had electrical type zingers that started by my left eye and then throughout my head and torso. I woke up drenched in sweat with rumbling gut.

Release 3 — day 7, dose 1

2021-02-08

Systemic reaction (other): Electrical/zinger sensations in my head and body. Total drenching sweats at night and unable to sleep

Release 4 — day 14, dose 1

2021-02-15

Symptoms: For 4 days I used ice + tylenol +rest to manage headache and arm pain + intense zingers in my head and torso + nausea +gastro pain + night sweats + insomnia. Back of arm was sore for 6 days. Mouth canker sores on day 7.

Release 4 — day 21, dose 1

2021-02-22

Symptoms: My ears are ringing really loud all day and all night. I am going to see an audiologist tomorrow. My stomach is still upset and a headache. I went to the Dr yesterday and got a prescription for the nausea. I was tested for Covid, It was negative.

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Nerve tingling, wild dreams

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): My ears are ringing really loud. Started after the first shot and has gotten louder. Will require hearing aids to counteract the ringing.

2021-03-04

Systemic reaction (other): My left ear is totally blocked and i can't hear anything, plus both ears are ringing very loudly.

2021-03-05

Systemic reaction (other): The ringing in my ears was so bad i got hearing aids today. I have lost all hearing in one ear.

Healthcare visit (other): Audiology

2021-03-06

Systemic reaction (other): Ringing in my ears is intense, no hearing on one ear

Healthcare visit (other): Specialist Dr appt

2021-03-07

Systemic reaction (other): I cannot hear out of one ear, it feels blocked, plus both ears are ringing

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): I can't hear out of one ear, both ears are ringing

Healthcare visit (other): Going to ENT

Release 5 — day 14, dose 2

2021-03-15

Symptoms: I have had severe cramping, gas and the runs.My ears are ringing non stop all day and night.Sleeping is impacted by getting up to use the bathroom.I have not gotten rid of my headache since the first shot which is highly annoying.

Healthcare visit (other): In person Dr appointment

Release 6 — day 21, dose 2

2021-03-22

Symptoms: My ears are still ringing very loudly.I am having trouble sleeping.

Release 6 — day 28, dose 2

2021-03-29

Symptoms: My ears are ringing non stop and I can't sleep.

Healthcare visit (other): In person dr

Release 6 — day 35, dose 2

2021-04-05

Symptoms: Gastro upset in addition to severe tinnitus. Unable to sleep.

Release 7 — day 42, dose 2

2021-04-12

Symptoms: My ears are ringing so loud and i am unable to sleep.

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): Loud ringing in ears

2021-11-07

Systemic reaction (other): The ringing in my ears is so loud i could hardly sleep.

2021-11-08

Systemic reaction (other): My brain must be pretty impacted because the ringing is horrible, nonstop and loud

2021-11-09

Systemic reaction (other): Incredibly loud ringing in my head with no off button

2021-11-11

Systemic reaction (other): The ringing in my head is super intense and makes it hard to hear, sleep or concentrate.

Release 10 — day 7, dose 3

2021-11-12

Systemic reaction (other): incredibly loud ringing in my brain that affects my hearing, concentration and sleep.

Release 10 — day 14, dose 3

2021-11-19

Symptoms: The sounds in my brain are getting louder and more distracting.

Release 10 — day 21, dose 3

2021-11-26

Symptoms: My poor brain is making lots of noise as the neurons bang into each other. The tinnitus is vety bad!

Release 10 — day 28, dose 3

2021-12-03

Symptoms: The ringing in my ears is super loud and i wish i could see into my brain to discover what is going on in there.

Release 10 — day 35, dose 3

2021-12-10

Symptoms: In addition to terrible ringing in my ears, i have had a sore throat and post Nasal drip for over a week.

Release 10 — day 42, dose 3

2021-12-17

Symptoms: I have significant ringing in my ears that is non stop and is really loud even at night which keeps me awake. I also have constant sinus drainage and sore throat.

Release 11 — 3 months, dose 3

2022-02-04

Symptoms: My ears ring loudly night and day and if terribly distracting.

Release 11 — 6 months, dose 3

2022-05-06

Symptoms: I am not sleeping well. I am more anxious which has never been am issue for me. My ears continue to ring non stop, louder than the chimes in the hearing aids i had to get to counteract the severe tinnitus. It is a constant reminder of my shots.

Release 12 — 12 months, dose 3

2022-11-06

Symptoms: There is a new higher pitch sound with my tinnitus that is very loud and always present.

Healthcare visit (other): Going to see ENT doctor

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	Abdominal discomfort	✓	✓	✓
SD	Anxiety	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hearing aid therapy	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Night sweats	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Deafness	✓	✓	✓
SRO	Deafness unilateral	✓	✓	✓
SRO	Disturbance in attention	·	·	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Electric shock sensation	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypoacusis	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Sleep disorder	·	·	✓
SRO	Tinnitus	✓	✓	✓

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