6GH-12494-28858
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 970 / OR
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-03
- 2021-01-04
- 2021-01-05
-
2021-01-06
Survey response — day 7, dose 1MedDRA: Ear discomfort — Feeling: GoodFree text: A fullness in my ears may be due to my seasonal allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-13
Survey response — day 14, dose 1MedDRA: Dizziness, Ear discomfort, Hyperacusis, Tinnitus — Feeling: GoodFree text: I have developed a fullness in my ears, tinnitus, and mild dizziness. I am more sensitive to loud noises. I believe these symptoms are due to new onset Ménière's disease.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-20
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
-
2021-02-17
Survey response — day 21, dose 2MedDRA: Ear discomfort, Tinnitus — Feeling: GoodFree text: I am experiencing ear fullness, mild sensitivity to sound, and a high pitched ringing. I have not experienced any vertigo. I had similar symptoms with mild vertigo after the first dose. That was the first time I had experienced these symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
-
2021-08-01
Survey response — 6 months, dose 2MedDRA: Urinary tract infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Urinary tract infectionMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-01
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-12
- 2022-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): A fullness in my ears may be due to my seasonal allergies.
Release 1 — day 14, dose 1
Symptoms: I have developed a fullness in my ears, tinnitus, and mild dizziness. I am more sensitive to loud noises. I believe these symptoms are due to new onset Ménière's disease.
Release 4 — day 21, dose 2
Symptoms: I am experiencing ear fullness, mild sensitivity to sound, and a high pitched ringing. I have not experienced any vertigo. I had similar symptoms with mild vertigo after the first dose. That was the first time I had experienced these symptoms.
Release 9 — 6 months, dose 2
Symptoms: Urinary tract infection
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Ear discomfort | ✓ | ✓ | ✓ |
| SD | Hyperacusis | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | · | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release