68B-19824-22501
2 vaccinations
10 coded responses
22 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 880 / NM
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
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2021-03-10
Survey response — day 0, dose 1MedDRA: Tinnitus — Feeling: Good · Site: Pain · HeadacheFree text: Ringing in earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Neuropathy peripheral, Tinnitus — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Increased neuropathy especially in arm that got shot. Also increased tinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-16
- 2021-03-17
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2021-03-24
Survey response — day 14, dose 1MedDRA: Burning sensation, Injection site pain, Injection site rash, Myalgia, Rash — Feeling: GoodFree text: On day 8 developed rash near injection site, burning sensation, and increased pain. Lasted about two days, this is day 14 and finally all pain gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — day 21, dose 1MedDRA: Neuropathy peripheral, Pain in extremity, Tinnitus — Feeling: GoodFree text: Arm still hurts. Ringing in ears worse. Neuropathy worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Dose 2 — Moderna
- 2021-04-07
- 2021-04-08
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Developed very loud ringing in ear.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Ringing in earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: TinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — day 7, dose 2MedDRA: Renal pain, Tinnitus — Feeling: GoodFree text: Tinnitus. Kidney painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
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2021-04-28
Survey response — day 21, dose 2MedDRA: Injection site pain, Injection site pruritus — Feeling: GoodFree text: Initial injection site from first dose started itching again and was slightly painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
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2021-05-13
Survey response — day 35, dose 2MedDRA: Neuralgia — Feeling: GoodFree text: Intense nerve pain in footMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
- 2021-07-07
- 2021-10-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Ringing in ears
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Increased neuropathy especially in arm that got shot. Also increased tinnitus
Release 6 — day 14, dose 1
Symptoms: On day 8 developed rash near injection site, burning sensation, and increased pain. Lasted about two days, this is day 14 and finally all pain gone.
Release 6 — day 21, dose 1
Symptoms: Arm still hurts. Ringing in ears worse. Neuropathy worse.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Developed very loud ringing in ear.
Systemic reaction (other): Ringing in ears
Systemic reaction (other): Tinnitus
Release 7 — day 7, dose 2
Systemic reaction (other): Tinnitus. Kidney pain
Release 8 — day 21, dose 2
Symptoms: Initial injection site from first dose started itching again and was slightly painful.
Release 8 — day 35, dose 2
Symptoms: Intense nerve pain in foot
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 | Burning sensation | ✓ | ✓ | ○ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ○ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ○ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SRO | Renal pain | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release