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6XR-35789-90275

2 vaccinations 9 coded responses 12 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
750 / TX
Registered
2021-03-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-23
    Dose 1 — Moderna
  2. 2021-03-02
    Registered in v-safe
  3. 2021-03-02
    Survey response — day 7, dose 1
    MedDRA: Rhinorrhoea — Feeling: Good · Fever · Fatigue or tiredness
    Free text: Nose drip
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-11
    Survey response — day 14, dose 1
    MedDRA: Dysgeusia — Feeling: Good
    Free text: Bad taste in mouth.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-23
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-25
    Dose 2 — Moderna
  8. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease, Tinnitus — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Tinnitus is worse after second shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-02
    Survey response — day 7, dose 2
    MedDRA: Pre-existing disease, Tinnitus — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: My tinnitus is louder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-09
    Survey response — day 14, dose 2
    MedDRA: Pre-existing disease, Tinnitus — Feeling: Fair
    Free text: My tinnitus continues to get worse, since the 2nd shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-15
    Survey response — day 21, dose 2
    MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My tinnitus continues to be screaming since the second vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-26
    Survey response — day 28, dose 2
    MedDRA: Insomnia, Pre-existing disease, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: The tinnitus in my ears has continued to get worse since my 2nd shot. Very difficult to sleep.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-30
    Survey response — day 35, dose 2
    MedDRA: Pre-existing disease, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: The increase of tinnitus after the vaccine has continued.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-06
    Survey response — day 42, dose 2
    MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: The increased tinnitus I developed after the 2nd shot, has continued
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-23Moderna
22021-03-25Moderna

Free text

Release 4 — day 7, dose 1

2021-03-02

Systemic reaction (other): Nose drip

Release 5 — day 14, dose 1

2021-03-11

Symptoms: Bad taste in mouth.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Tinnitus is worse after second shot

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): My tinnitus is louder

Release 7 — day 14, dose 2

2021-04-09

Symptoms: My tinnitus continues to get worse, since the 2nd shot

Release 7 — day 21, dose 2

2021-04-15

Symptoms: My tinnitus continues to be screaming since the second vaccine

Release 8 — day 28, dose 2

2021-04-26

Symptoms: The tinnitus in my ears has continued to get worse since my 2nd shot. Very difficult to sleep.

Release 8 — day 35, dose 2

2021-04-30

Symptoms: The increase of tinnitus after the vaccine has continued.

Release 8 — day 42, dose 2

2021-05-06

Symptoms: The increased tinnitus I developed after the 2nd shot, has continued

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
SDDysgeusia ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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

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