6NR-16940-48380

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 548 / WI
Registered: 2021-02-20

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

2021-02-19
Dose 1 — Moderna
2021-02-20
Registered in v-safe
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Moderna
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swollen supraclavicular lymph node-tender to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Supraclavicular lymph node swollen-tender to touch and with certain movements

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Headache

Free text: Supraclavicular lymph node swollen still and tender to touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Supraclavicular lymph node swollen and tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Supraclavicular lymph node swollen-not tender to the touch anymore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Supraclavicular lymph node swollen-no more pain though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — day 42, dose 2
MedDRA: Hypoacusis, Office visit — Feeling: Fair

Free text: Hearing in my right ear suddenly changed-right ear missing the two highest pitch sounds. Saw my GP an audiologist and will see an ENT as there are now concerns for AIED. Symptoms started after my second vaccine and have been getting worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Deafness unilateral — Feeling: Fair

Free text: Still have hearing loss/full sensation in my right ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-17
Survey response — 6 months, dose 2
MedDRA: Deafness, Ear discomfort, Ear disorder, Ear inflammation, Office visit — Feeling: Good · Be unable to do your normal daily activities

Free text: Still issues with my right ear. I have seen an audiologist who diagnosed me with unexplained hearing loss. I also saw an ENT, had 2 MRIs and there is no explanation for the hearing loss, plugged feeling, and what seems like inflammation.

MedDRA releases: 2024-11 · check-in free text available
2022-03-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna
2	2021-03-19	Moderna

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Swollen supraclavicular lymph node-tender to the touch

2021-03-22

Systemic reaction (other): Supraclavicular lymph node swollen-tender to touch and with certain movements

2021-03-23

Systemic reaction (other): Supraclavicular lymph node swollen still and tender to touch

2021-03-24

Systemic reaction (other): Supraclavicular lymph node swollen and tender

2021-03-25

Systemic reaction (other): Supraclavicular lymph node swollen-not tender to the touch anymore

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): Supraclavicular lymph node swollen-no more pain though

Release 8 — day 42, dose 2

2021-05-01

Symptoms: Hearing in my right ear suddenly changed-right ear missing the two highest pitch sounds. Saw my GP an audiologist and will see an ENT as there are now concerns for AIED. Symptoms started after my second vaccine and have been getting worse.

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Still have hearing loss/full sensation in my right ear

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: Still issues with my right ear. I have seen an audiologist who diagnosed me with unexplained hearing loss. I also saw an ENT, had 2 MRIs and there is no explanation for the hearing loss, plugged feeling, and what seems like inflammation.

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	Deafness	·	·	✓
SD	Deafness unilateral	✓	✓	✓
SD	Ear discomfort	·	·	✓
SD	Ear disorder	·	·	✓
SD	Ear inflammation	·	·	✓
SD	Hypoacusis	✓	✓	✓
SD	Office visit	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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