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6TM-21189-63561

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
018 / MA
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Registered in v-safe
  2. 2021-01-08
    Dose 1 — Moderna
  3. 2021-01-08
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-05
    Dose 2 — Moderna
  13. 2021-02-05
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tinnitus — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness
    Free text: Tinnitus - started yesterday afternoon - new for me
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tinnitus — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Free text: Tinnitus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tinnitus — Feeling: Good
    Free text: Tinnitus continues - no improvement
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tinnitus — Feeling: Good
    Free text: Tinnitus - no change - moderate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tinnitus — Feeling: Good
    Free text: Tinnitus - worse today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tinnitus — Feeling: Good
    Free text: Tinnitus continues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-12
    Survey response — day 7, dose 2
    MedDRA: Insomnia, Tinnitus — Feeling: Good
    Free text: Tinnitus - unchanged - makes sleep difficult in quiet setting
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-26
    Survey response — day 21, dose 2
    MedDRA: Insomnia, Tinnitus — Feeling: Fair
    Free text: Tinnitus still present. Has not stopped since onset a few hours after 2nd shot. Hard to fall asleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-07
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-03-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-19
    Survey response — day 42, dose 2
    MedDRA: Insomnia, Tinnitus — Feeling: Fair
    Free text: Ears have not stopped ringing since 2nd shot. Difficult to fall asleep unless there is noise in the room. Not something i have ever had before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-07
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-08-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-02-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Tinnitus - started yesterday afternoon - new for me

2021-02-07

Systemic reaction (other): Tinnitus

2021-02-08

Systemic reaction (other): Tinnitus continues - no improvement

2021-02-09

Systemic reaction (other): Tinnitus - no change - moderate

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Tinnitus - worse today

2021-02-11

Systemic reaction (other): Tinnitus continues

Release 4 — day 7, dose 2

2021-02-12

Systemic reaction (other): Tinnitus - unchanged - makes sleep difficult in quiet setting

Release 4 — day 21, dose 2

2021-02-26

Symptoms: Tinnitus still present. Has not stopped since onset a few hours after 2nd shot. Hard to fall asleep

Release 5 — day 42, dose 2

2021-03-19

Symptoms: Ears have not stopped ringing since 2nd shot. Difficult to fall asleep unless there is noise in the room. Not something i have ever had before.

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

FieldPreferred term2021-092023-042024-11
SDInsomnia ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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

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