6WT-32824-59497

3 vaccinations 15 coded responses 37 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 983 / WA
Registered: 2021-02-25

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

2021-02-25
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Nausea, Abdominal pain

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — day 14, dose 1
MedDRA: Injection site discolouration, Injection site warmth — Feeling: Good

Free text: My arm turned pink at the injection site and was really warm to the touch for three or so days. This started 8 days after my vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None · Be unable to work

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Loud ringing in left ear with eye pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention, Tinnitus — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Ringing in ears. Concentration issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention, Hypoacusis, Insomnia, Tinnitus — Feeling: Fair · Site: Pain, Swelling

Free text: Loud ringing continues in my ears making concentration, hearing and sleeping difficult.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Headache

Free text: Ringing in ears still very loud.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 7, dose 2
MedDRA: Fatigue, Headache, Insomnia, Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The ringing in my ears from the vaccination is constant, headache and lack of sleep from the ringing in my ears is probably causing the fatigue.

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

Adult check-in
2021-04-16
Survey response — day 21, dose 2
MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ringing in ears is getting more intense

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 28, dose 2
MedDRA: Tinnitus, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Earring is getting louder. This started within a few hours after the 2nd dose. · Healthcare visit (other): My primary provider

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Survey response — day 42, dose 2
MedDRA: Tinnitus — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Ringing in my ears has gotten worse this week. Started after the 2nd dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-20
Dose 3 — Moderna
2021-11-20
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ear pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Fair · Site: Pain

Free text: Ear ringing than began after the 2nd shot is much louder after the booster

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Good

Free text: Ear ringing louder

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Good

Free text: Ear ringing

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Survey response — day 7, dose 3
MedDRA: Tinnitus — Feeling: Good

Free text: Ear ringing

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-25
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-01
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-08
Call successful
Does not wish to fill out VAERS report
2022-05-21
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-11-20
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna
3	2021-11-20	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-12

Symptoms: My arm turned pink at the injection site and was really warm to the touch for three or so days. This started 8 days after my vaccination.

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Loud ringing in left ear with eye pain

2021-03-29

Systemic reaction (other): Ringing in ears. Concentration issues.

2021-03-30

Systemic reaction (other): Loud ringing continues in my ears making concentration, hearing and sleeping difficult.

2021-04-01

Systemic reaction (other): Ringing in ears still very loud.

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): The ringing in my ears from the vaccination is constant, headache and lack of sleep from the ringing in my ears is probably causing the fatigue.

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Ringing in ears is getting more intense

Release 7 — day 28, dose 2

2021-04-23

Symptoms: Earring is getting louder. This started within a few hours after the 2nd dose.

Healthcare visit (other): My primary provider

Release 8 — day 42, dose 2

2021-05-07

Symptoms: Ringing in my ears has gotten worse this week. Started after the 2nd dose

Release 10 — days 1–6 daily, dose 3

2021-11-21

Systemic reaction (other): Ear pain

2021-11-24

Systemic reaction (other): Ear ringing than began after the 2nd shot is much louder after the booster

2021-11-25

Systemic reaction (other): Ear ringing louder

2021-11-26

Systemic reaction (other): Ear ringing

Release 10 — day 7, dose 3

2021-11-27

Systemic reaction (other): Ear ringing

Release 11 — 6 months, dose 3

2022-05-21

Symptoms: Covid

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	Unevaluable event	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Injection site discolouration	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Ear pain	·	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoacusis	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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