6EZ-11159-52316
2 vaccinations
10 coded responses
23 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 077 / NJ
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-22
Registered in v-safe
-
2021-04-22
Dose 1 — Moderna
- 2021-04-22
-
2021-04-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-24
Survey response — days 1–6 daily, dose 1MedDRA: Tinnitus — Feeling: Good · Site: PainFree text: Ear was ringing last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
-
2021-04-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-04-28
- 2021-04-29
-
2021-05-06
Survey response — day 14, dose 1MedDRA: Headache, Muscle spasms — Feeling: GoodFree text: Spasm at injection site, headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Dose 2 — Moderna
- 2021-05-20
-
2021-05-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-05-23
- 2021-05-24
-
2021-05-25
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: Ringing in earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-05-27
-
2021-06-03
Survey response — day 14, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Ear ringingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-10
Survey response — day 21, dose 2MedDRA: Tinnitus — Feeling: FairFree text: Still have ringing in my ear since the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-17
Survey response — day 28, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Still gave ringing in my ear, hasnt gone awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-24
Survey response — day 35, dose 2MedDRA: Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Not worse but ringing in the ear still presentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-24
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-01
Survey response — day 42, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Still have ringing in my earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-01
Call successfulParticipant prefers to complete VAERS report online
-
2021-08-22
Survey response — 3 months, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Not new but still reoccurring ear ringing, hasn't gone away yet since the 2nd vaccineMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-23
Survey response — 6 months, dose 2MedDRA: Arthralgia, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ringing in ear since 2nd vaccine never went away and hip pain continues, not going awayMedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-22 | Moderna | |
| 2 | 2021-05-20 | Moderna |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Ear was ringing last night
Release 8 — day 14, dose 1
Symptoms: Spasm at injection site, headaches
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Ringing in ear
Release 8 — day 14, dose 2
Symptoms: Ear ringing
Release 9 — day 21, dose 2
Symptoms: Still have ringing in my ear since the vaccine
Release 9 — day 28, dose 2
Symptoms: Still gave ringing in my ear, hasnt gone away
Release 9 — day 35, dose 2
Symptoms: Not worse but ringing in the ear still present
Release 9 — day 42, dose 2
Symptoms: Still have ringing in my ear
Release 9 — 3 months, dose 2
Symptoms: Not new but still reoccurring ear ringing, hasn't gone away yet since the 2nd vaccine
Release 10 — 6 months, dose 2
Symptoms: Ringing in ear since 2nd vaccine never went away and hip pain continues, not going away
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 | Arthralgia | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release