7TM-30579-43823
4 vaccinations
7 coded responses
54 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 442 / OH
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
TU9-29087-41774
Child or adolescent in my care · Female · 2021-11-12
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
- 2021-03-31
-
2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Headache, Diarrhea, Abdominal painAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
-
2021-04-21
Survey response — day 21, dose 1MedDRA: Tinnitus — Feeling: GoodFree text: Ringing in my left earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
-
2021-05-02
Dose 2 — Moderna
- 2021-05-02
-
2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity, Pain of skin, Skin burning sensation, Tinnitus — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Fingertip pain, tinnitus, scalp pain, skin feels like a sunburnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Ear painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-05-30
- 2021-06-06
- 2021-06-13
- 2021-08-01
- 2021-10-31
-
2021-11-20
Dose 3 — Moderna
-
2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Tinnitus — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Tinnitus, pain in the ankle lasting 5 minutesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
-
2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · HeadacheFree text: Tinnitus in left earMedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
-
2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: GoodFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-02-19
- 2022-05-21
-
2022-09-08
Dose 4 — Moderna
-
2022-09-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tirednessAdult check-in
-
2022-09-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
-
2022-09-11
Survey response — days 1–6 daily, dose 4MedDRA: Asthenopia — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Tired eyesMedDRA releases: 2024-11 · check-in free text available
- 2022-09-12
- 2022-09-13
- 2022-09-14
-
2022-09-17
Health check-in — day 7, dose 4Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-12-08
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-05-02 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
| 4 | 2022-09-08 | Moderna | No |
Free text
Release 7 — day 21, dose 1
Symptoms: Ringing in my left ear
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Fingertip pain, tinnitus, scalp pain, skin feels like a sunburn
Systemic reaction (other): Ear pain
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tinnitus, pain in the ankle lasting 5 minutes
Systemic reaction (other): Tinnitus in left ear
Systemic reaction (other): Tinnitus
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Tired eyes
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 | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Asthenopia | · | · | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release