APX-29898-43306
5 vaccinations
3 coded responses
23 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 752 / TX
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
VB5-16956-73532
Child or adolescent in my care · Female · 2021-11-04
3QQ-14113-09184
Child or adolescent in my care · Male · 2021-11-04
Timeline
-
2021-01-12
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-01-15
- 2021-01-17
-
2021-01-21
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-02
-
2021-02-12
Dose 2 — Moderna
- 2021-02-16
- 2021-02-17
- 2021-08-13
-
2021-08-29
Dose 3 — Moderna
- 2021-08-29
-
2021-08-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · HeadacheAdult check-in
-
2021-08-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-09-01
- 2021-09-02
- 2021-09-04
- 2021-09-05
- 2021-09-12
- 2021-09-21
- 2021-10-05
- 2021-10-10
-
2022-01-08
Dose 4 — Moderna
- 2022-02-27
-
2022-05-15
Dose 5 — Moderna
-
2022-05-17
Survey response — days 1–6 daily, dose 5MedDRA: Tinnitus — Feeling: GoodFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
-
2022-05-18
Survey response — days 1–6 daily, dose 5MedDRA: Tinnitus — Feeling: GoodFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
-
2023-05-15
Survey response — 12 months, dose 5MedDRA: Tinnitus — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-05-15
Report sent to call center — 12 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-08-29 | Moderna | No |
| 4 | 2022-01-08 | Moderna | No |
| 5 | 2022-05-15 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — days 1–6 daily, dose 5
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
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 | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release