6QK-15438-79785
5 vaccinations
26 coded responses
55 check-ins
25 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 333 / FL
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
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2021-03-24
Dose 1 — Moderna
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-01
- 2021-04-07
- 2021-04-14
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2021-04-21
Dose 2 — Moderna
- 2021-04-21
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-27
- 2021-06-02
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2021-07-21
Survey response — 3 months, dose 2MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling under left arm pit.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-22
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2021-11-15
Dose 3 — Moderna
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2022-04-21
Survey response — 12 months, dose 2MedDRA: Acne, Infection, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Constant tinnitus in both ears since receiving last booster in Nov. 2021. Multiple infected areas all over body that fill with pus-similar to a large pimple but on arms, legs, finger cuticle, back, face.MedDRA releases: 2024-11 · check-in free text available
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2022-04-21
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-22
- 2022-04-25
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2022-05-10
Dose 4 — Moderna
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2022-05-10
Survey response — day 0, dose 4MedDRA: Tinnitus — Feeling: FairFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2022-05-11
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Worsening of TinnitusMedDRA releases: 2024-11 · check-in free text available
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2022-05-12
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Headache, DiarrheaFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2022-05-13
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Good · Site: Pain · HeadacheFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Good · Headache, DiarrheaFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2022-05-15
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Fair · Headache, Nausea, DiarrheaFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2022-05-16
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Good · DiarrheaFree text: Sever TinnitusMedDRA releases: 2024-11 · check-in free text available
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2022-05-17
Survey response — day 7, dose 4MedDRA: Tinnitus — Feeling: Fair · Headache, Muscle or body aches, DiarrheaFree text: Severe TinnitusMedDRA releases: 2024-11 · check-in free text available
- 2022-05-24
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2022-05-31
Survey response — day 21, dose 4MedDRA: Tinnitus — Feeling: FairFree text: Tinnitus getting worse.MedDRA releases: 2024-11 · check-in free text available
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2022-06-07
Survey response — day 28, dose 4MedDRA: Tinnitus — Feeling: Good · Be unable to do your normal daily activitiesFree text: Tinnitus continues to be a problem. Some days exceptionally bothersome.MedDRA releases: 2024-11 · check-in free text available
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2022-06-14
Survey response — day 35, dose 4MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tinnitus worse.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-21
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2022-08-09
Survey response — 3 months, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen glandsMedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Dose 5 — ModernaCo-administered: Flu
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2022-10-24
Survey response — day 0, dose 5MedDRA: Tinnitus — Feeling: Good · Site: PainFree text: Still have tinnitus from previous shots.MedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Survey response — days 1–6 daily, dose 5MedDRA: Respiratory tract congestion, Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Congestion, worsening tinnitus.MedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Survey response — days 1–6 daily, dose 5MedDRA: Tinnitus — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Survey response — days 1–6 daily, dose 5MedDRA: Tinnitus — Feeling: GoodFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
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2022-10-29
Survey response — days 1–6 daily, dose 5MedDRA: Tinnitus — Feeling: Good · Joint painsFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2022-10-30
Survey response — days 1–6 daily, dose 5MedDRA: Tinnitus — Feeling: Good · Headache, Joint painsFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2022-10-31
Survey response — day 7, dose 5MedDRA: Migraine — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: Migraine HeadacheMedDRA releases: 2024-11 · check-in free text available
- 2022-11-07
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2022-11-14
Survey response — day 21, dose 5MedDRA: Lymphadenopathy, Swelling, Tinnitus — Feeling: FairFree text: Swelling in back of neck along cervical spine. Enlarged lymph nodes in throat. Worsening tinnitus.MedDRA releases: 2024-11 · check-in free text available
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2022-11-21
Survey response — day 28, dose 5MedDRA: Discomfort, Lymphadenopathy, Musculoskeletal discomfort, Swelling — Feeling: FairFree text: Back of neck swelling. Swollen glands in front of neck. Lung/ mid back discomfort.MedDRA releases: 2024-11 · check-in free text available
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2022-11-28
Survey response — day 35, dose 5MedDRA: Headache, Lymphadenopathy, Swelling — Feeling: FairFree text: Still have enlarged glands in neck. Back of neck swollen across spine. Headaches daily.MedDRA releases: 2024-11 · check-in free text available
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2022-12-05
Survey response — day 42, dose 5MedDRA: Chest discomfort, Lymphadenopathy, Swelling, Tinnitus, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Back of neck/spine still swollen. Lung discomfort. Lymph nodes in neck enlarged. Tinnitus remains a problem. · Healthcare visit (other): Endoscopy procedure done, will see ENT next week for possible MRIMedDRA releases: 2024-11 · check-in free text available
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2022-12-05
Report sent to call center — day 42, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-12-06
Call successfulDoes not wish to fill out VAERS report
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2022-12-06
Call successfulDoes not wish to fill out VAERS report
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2023-01-23
Survey response — 3 months, dose 5MedDRA: Inflammation, Lymphadenopathy, Office visit, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-01-23
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-01-24
Call successfulParticipant prefers to complete VAERS report online
- 2023-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-05-10 | Moderna | No |
| 5 | 2022-10-24 | Moderna | Flu |
Call center
3 call center cases
3 successful
Free text
Release 9 — 3 months, dose 2
Symptoms: Swelling under left arm pit.
Release 11 — 12 months, dose 2
Symptoms: Constant tinnitus in both ears since receiving last booster in Nov. 2021. Multiple infected areas all over body that fill with pus-similar to a large pimple but on arms, legs, finger cuticle, back, face.
Release 11 — day 0, dose 4
Systemic reaction (other): Tinnitus
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Worsening of Tinnitus
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
Systemic reaction (other): Sever Tinnitus
Release 11 — day 7, dose 4
Systemic reaction (other): Severe Tinnitus
Release 11 — day 21, dose 4
Symptoms: Tinnitus getting worse.
Release 11 — day 28, dose 4
Symptoms: Tinnitus continues to be a problem. Some days exceptionally bothersome.
Release 12 — day 35, dose 4
Symptoms: Tinnitus worse.
Release 12 — 3 months, dose 4
Symptoms: Swollen glands
Release 12 — day 0, dose 5
Systemic reaction (other): Still have tinnitus from previous shots.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Congestion, worsening tinnitus.
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
Release 12 — day 7, dose 5
Systemic reaction (other): Migraine Headache
Release 12 — day 21, dose 5
Symptoms: Swelling in back of neck along cervical spine. Enlarged lymph nodes in throat. Worsening tinnitus.
Release 12 — day 28, dose 5
Symptoms: Back of neck swelling. Swollen glands in front of neck. Lung/ mid back discomfort.
Release 12 — day 35, dose 5
Symptoms: Still have enlarged glands in neck. Back of neck swollen across spine. Headaches daily.
Release 12 — day 42, dose 5
Symptoms: Back of neck/spine still swollen. Lung discomfort. Lymph nodes in neck enlarged. Tinnitus remains a problem.
Healthcare visit (other): Endoscopy procedure done, will see ENT next week for possible MRI
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 |
|---|---|---|---|---|
| HCVO | Inflammation | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Acne | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Infection | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Musculoskeletal discomfort | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Migraine | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release