Y22-93476-75615

2 vaccinations 16 coded responses 22 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 276 / NC
Registered: 2021-03-01

Relationship: Self
Race: Asian
Ethnicity: N/A

Timeline

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

2021-03-01
Registered in v-safe
2021-03-01
Dose 1 — Moderna
2021-03-01
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: none

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My rightside ear very uncomfortable for 4 days. I felt like something inside and is not clear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: ear not comfortable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-03-15
Survey response — day 14, dose 1
MedDRA: Ear discomfort, Fatigue, Myalgia, Nervousness, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: my right ear very uncomfortable. the sounds still their.I felt heavy and like something inside. And my bidy still tired and my muscles sore specially down ti my legs. sometimes i fell nervous. · Healthcare visit (other): walk in with my family doctors

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-28
Dose 2 — Moderna
2021-03-29
Survey response — day 28, dose 1
MedDRA: Neck pain, Tinnitus — Feeling: Fair

Free text: My ears still making noise and some of neck hurts. Most bothers me is my ears making noise none stop.

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: Ear pain, Tinnitus — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: My two ears making noise and pain

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: Ear pain — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Both ears hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My ears, please i need help

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Both ears,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — day 14, dose 2
MedDRA: Muscle tightness — Feeling: Poor · Be unable to do your normal daily activities

Free text: I can't talk longer if i talked to much i feel like tighten around my neck. Please i need helps for my ears and troat. Please!!!!!! It's make me worried... i need helps...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — day 21, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My both ears lymp glands i guess. Bothered me a lot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-25
Survey response — day 28, dose 2
MedDRA: Ear pain, Pain in jaw, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: My ears both ears still hurts and ringing sound. And also sown to my ears both sides hurts my jew .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 35, dose 2
MedDRA: Dry mouth, Ear discomfort, Medical counselling, Office visit, Oral discomfort, Oropharyngeal discomfort — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Very owefull feelings in my mouth, troath, ears. I went to ENT soecialist. Cant find wrong. I need helps. Please someone to I can speak of the vaccine i was recieved. Its killing me... please!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-10
Survey response — day 42, dose 2
MedDRA: Ear discomfort — Feeling: Poor · Be unable to do your normal daily activities

Free text: Ears still bothered me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Depressed mood, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired most of all time since i got my vaccine. Depressed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-26
Survey response — 6 months, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still tired

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-28	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-15	Unsuccessful
2021-04-18	Unsuccessful
2021-05-03	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-03-01

Systemic reaction (other): none

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): My rightside ear very uncomfortable for 4 days. I felt like something inside and is not clear

2021-03-07

Systemic reaction (other): ear not comfortable

Release 5 — day 14, dose 1

2021-03-15

Symptoms: my right ear very uncomfortable. the sounds still their.I felt heavy and like something inside. And my bidy still tired and my muscles sore specially down ti my legs. sometimes i fell nervous.

Healthcare visit (other): walk in with my family doctors

Release 6 — day 28, dose 1

2021-03-29

Symptoms: My ears still making noise and some of neck hurts. Most bothers me is my ears making noise none stop.

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): My two ears making noise and pain

2021-04-01

Systemic reaction (other): Both ears hurts

2021-04-02

Systemic reaction (other): My ears, please i need help

Release 6 — day 7, dose 2

2021-04-04

Systemic reaction (other): Both ears,

Release 7 — day 14, dose 2

2021-04-11

Symptoms: I can't talk longer if i talked to much i feel like tighten around my neck. Please i need helps for my ears and troat. Please!!!!!! It's make me worried... i need helps...

Release 7 — day 21, dose 2

2021-04-18

Symptoms: My both ears lymp glands i guess. Bothered me a lot.

Release 7 — day 28, dose 2

2021-04-25

Symptoms: My ears both ears still hurts and ringing sound. And also sown to my ears both sides hurts my jew .

Release 8 — day 35, dose 2

2021-05-03

Symptoms: Very owefull feelings in my mouth, troath, ears. I went to ENT soecialist. Cant find wrong. I need helps. Please someone to I can speak of the vaccine i was recieved. Its killing me... please!!!

Release 8 — day 42, dose 2

2021-05-10

Symptoms: Ears still bothered me

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Tired most of all time since i got my vaccine. Depressed.

Release 9 — 6 months, dose 2

2021-09-26

Symptoms: Still tired

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	Office visit	✓	✓	✓
SD	Depressed mood	✓	✓	✓
SD	Dry mouth	○	✓	○
SD	Ear discomfort	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Medical counselling	○	✓	○
SD	Muscle tightness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Nervousness	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Oral discomfort	✓	·	✓
SD	Oropharyngeal discomfort	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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