685-10060-52911

2 vaccinations 9 coded responses 27 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 787 / TX
Registered: 2021-02-26

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-26
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Hypersomnia, Nervous system disorder, Post-traumatic stress disorder, Pre-existing disease, Specialist consultation, Vestibular neuronitis — Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Its exacerbating my neuro vestibular & psychiatric nervous system is shaking ptsd issues so slept 30 out of 48 past hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Headache, Joint pains

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 28, dose 1
MedDRA: Pre-existing disease, Tinnitus — Feeling: Good

Free text: Tinnitus which was preexisting but constant now unsure if theyre related but never had this everyday thx

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Dose 2 — Moderna
2021-03-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature normal, Emotional disorder — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: These were all last night before bed woke with 99.9 but no temp today except emotions sensitive like 1st vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Emotional disorder — Feeling: Fair · Fatigue or tiredness

Free text: More emotional than normal first one did that too

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Joint pains, Muscle or body aches

Adult check-in
2021-04-03
Survey response — day 7, dose 2
MedDRA: Pruritus — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 35, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus unsure if its related but same timing almost after second shot still unsure if related to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-29
Survey response — 12 months, dose 2
MedDRA: Pre-existing disease, Pyrexia, Therapeutic response unexpected, Tinnitus, Tongue disorder — Feeling: Fair · Be unable to work or attend school

Free text: The virus first strain still long hauling neuro damage heart damage preexisting unknown conditions the vaccine relieved slot of the low BP drops it created and intermittent fevers Tongue hasn't recovered also tinnitus accelerated hard to tell y

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-27	Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Its exacerbating my neuro vestibular & psychiatric nervous system is shaking ptsd issues so slept 30 out of 48 past hours

2021-03-02

Systemic reaction (other): Tinnitus

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Tinnitus

Release 6 — day 28, dose 1

2021-03-26

Symptoms: Tinnitus which was preexisting but constant now unsure if theyre related but never had this everyday thx

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): These were all last night before bed woke with 99.9 but no temp today except emotions sensitive like 1st vaccine

2021-03-30

Systemic reaction (other): More emotional than normal first one did that too

Release 6 — day 7, dose 2

2021-04-03

Systemic reaction (other): Itching

Release 8 — day 35, dose 2

2021-05-03

Symptoms: Tinnitus unsure if its related but same timing almost after second shot still unsure if related to vaccine

Release 11 — 12 months, dose 2

2022-03-29

Symptoms: The virus first strain still long hauling neuro damage heart damage preexisting unknown conditions the vaccine relieved slot of the low BP drops it created and intermittent fevers Tongue hasn't recovered also tinnitus accelerated hard to tell y

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	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Therapeutic response unexpected	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Tongue disorder	·	·	✓
SRO	Body temperature normal	✓	✓	✓
SRO	Condition aggravated	✓	·	✓
SRO	Emotional disorder	✓	✓	✓
SRO	Hypersomnia	✓	·	✓
SRO	Nervous system disorder	✓	✓	✓
SRO	Post-traumatic stress disorder	✓	·	✓
SRO	Pre-existing disease	✓	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Specialist consultation	○	✓	○
SRO	Tinnitus	✓	✓	✓
SRO	Vestibular neuronitis	○	✓	○

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