6HL-17441-75495

2 vaccinations 8 coded responses 15 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 286 / NC
Registered: 2021-02-06

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

2021-02-06
Registered in v-safe
2021-02-06
Dose 1 — Moderna
2021-03-06
Dose 2 — Moderna
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Headache, Rash, not including the immediate area around the injection site

Free text: Increased tinnitus bilateral

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Nausea, Self-medication, Tinnitus — Feeling: Good · Site: Pain, Swelling

Free text: Got some fatigue and nausea about 34 hours after injection. Took two Tylenol went to bed felt better on awakening. Tinnitus improved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence, Tinnitus — Feeling: Good · Site: Pain

Free text: Excessive gas from time of injection and less, but still there. Increased Tinnitus present but decreasing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence, Nausea — Feeling: Good · Nausea

Free text: Extensive GI gas with no pain addressed with gas X since vaccine is all but gone. brief minor nausea this date

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

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 28, dose 2
MedDRA: Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Overall muscle and joint painduration three days and improved this am. Pain is resuming but I finished a workout by golly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-20
Survey response — day 42, dose 2
MedDRA: Insomnia, Weight increased — Feeling: Good

Free text: Decreased sleep and 5 pound weight gain despite increased exercise and good diet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-04
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Condition aggravated, Pain in extremity, Pre-existing disease, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Worsening insomnia, hip pain, arm soreness after allergy shots increased, increased tinnitus bilateral continues after vaccine. All of these things worth the protection to myself and my community.

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

1 call case(s)
2021-09-13
Call 1 — Left Voicemail
2021-09-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-06
Survey response — 12 months, dose 2
MedDRA: Condition aggravated, Insomnia, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Insomnia worsened after vaccines/booster. It has remained that way. Sleeping about 4-6 hours per night with CPAP and targeted low dose meds. It would not change my choice. The vaccines have been crucial.

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-08
Call 1 — Left Voicemail
2022-03-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-06	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Increased tinnitus bilateral

2021-03-08

Systemic reaction (other): Got some fatigue and nausea about 34 hours after injection. Took two Tylenol went to bed felt better on awakening. Tinnitus improved.

2021-03-09

Systemic reaction (other): Excessive gas from time of injection and less, but still there. Increased Tinnitus present but decreasing

2021-03-10

Systemic reaction (other): Extensive GI gas with no pain addressed with gas X since vaccine is all but gone. brief minor nausea this date

Release 6 — day 28, dose 2

2021-04-03

Symptoms: Overall muscle and joint painduration three days and improved this am. Pain is resuming but I finished a workout by golly

Release 7 — day 42, dose 2

2021-04-20

Symptoms: Decreased sleep and 5 pound weight gain despite increased exercise and good diet.

Release 9 — 6 months, dose 2

2021-09-04

Symptoms: Worsening insomnia, hip pain, arm soreness after allergy shots increased, increased tinnitus bilateral continues after vaccine. All of these things worth the protection to myself and my community.

Release 11 — 12 months, dose 2

2022-03-06

Symptoms: Insomnia worsened after vaccines/booster. It has remained that way. Sleeping about 4-6 hours per night with CPAP and targeted low dose meds. It would not change my choice. The vaccines have been crucial.

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	Condition aggravated	✓	·	✓
SD	Insomnia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Tinnitus	✓	·	✓
SD	Weight increased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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