9VT-25387-50105 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-11
Dose 1 — Moderna
2021-03-16
Dose 2 — Moderna
2021-03-24
Registered in v-safe
2021-03-24
Survey response — day 7, dose 2
MedDRA: Ear infection, Ear pain, Neuralgia — Feeling: Poor · Fever · Headache · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Ear infection treated then prolonged nerve pain in inner ear of unknown origin. Seems nerve related. Travels to jawline left side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 7, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Survey response — day 14, dose 2
MedDRA: Ear infection, Ear swelling, Neuralgia, Pain, Pain in jaw, Tinnitus — Feeling: Fair · Be unable to work

Free text: Continued ear infection. 3 different antibiotics oral and topical ineffective. Nerve pain in left ear started 36 hrs after shot and has continued. Swelling of inner and outer ear. Tinnitus. Radiant pain into jaw. No cardiac or respiratory issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-14
Survey response — 6 months, dose 2
MedDRA: Ear infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chronic ear infections in left ear subsequent to shot in left arm.

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-15
Call 1 — Could Not Reach Participant
2021-09-20
Call 2 — Could Not Reach Participant
2022-03-16
Survey response — 12 months, dose 2
MedDRA: Bronchitis, Chest discomfort, Cough — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Pressure in chest and prolonged dry cough bronchitis.

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-03-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-16	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — day 7, dose 2

2021-03-24

Systemic reaction (other): Ear infection treated then prolonged nerve pain in inner ear of unknown origin. Seems nerve related. Travels to jawline left side.

Release 6 — day 14, dose 2

2021-03-30

Symptoms: Continued ear infection. 3 different antibiotics oral and topical ineffective. Nerve pain in left ear started 36 hrs after shot and has continued. Swelling of inner and outer ear. Tinnitus. Radiant pain into jaw. No cardiac or respiratory issues.

Release 9 — 6 months, dose 2

2021-09-14

Symptoms: Chronic ear infections in left ear subsequent to shot in left arm.

Release 11 — 12 months, dose 2

2022-03-16

Symptoms: Pressure in chest and prolonged dry cough bronchitis.

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	Bronchitis	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	Ear infection	✓	✓	✓
SD	Ear swelling	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Ear infection	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Neuralgia	✓	✓	✓

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