YA7-31121-96092

3 vaccinations 10 coded responses 28 check-ins 10 free-text entries 3 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 943 / CA
Registered: 2021-04-27

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-27
Registered in v-safe
2021-04-27
Dose 1 — Moderna
2021-04-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Ear Ringing began Thursday. Friday was the most intense and it has calmed down since.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Ear ringing is still present, about the same as yesterday (low)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair

Free text: Ear ringing is persistent, being that it has continued for nearly a week I am scheduling an appointment with an ENT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 7, dose 1
MedDRA: Medical counselling, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Ear ringing continues, but is slightly better today. level 2 on scale of 1-10. (b)(6) submitted a VAERS report yesterday for this. · Healthcare visit (other): Awaiting referral to see ENT for ear ringing (Tinnitus)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Survey response — day 14, dose 1
MedDRA: Office visit, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ringing in both ears is still persistent varying severity. Reached a high level on Saturday resulting in me visiting (b)(6) Express Care. They have referred me to ENT and Audiology for further evaluation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Survey response — day 42, dose 1
MedDRA: Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ringing in both ears has persisted with varying intensity. Some nights making it nearly impossible to sleep. Appointment with Audiologist Thurs 10 June.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — day 42, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-12
Dose 2 — Moderna
2021-07-12
Survey response — day 0, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Still have ear ringing following first dose, now less intense and random

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-07-14
Call successful
Completed over the phone
2021-07-15
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Still experiencing ringing in my ears, low level and intermittent now though

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-17
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Ringing in ears continues, level 2 of 10 currently

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Ringing in ears still present, although level 1 of 10 today

MedDRA releases: 2024-11 · check-in free text available
2021-07-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-07
Dose 3 — Moderna
2021-09-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-09-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-08
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-27	Moderna
2	2021-07-12	Moderna	No
3	2021-09-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-04	Successful	Completed over the phone
2021-05-13	Successful	Completed over the phone
2021-06-09	Successful 2021-07-14	Completed over the phone

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-01

Systemic reaction (other): Ear Ringing began Thursday. Friday was the most intense and it has calmed down since.

2021-05-02

Systemic reaction (other): Ear ringing is still present, about the same as yesterday (low)

2021-05-03

Systemic reaction (other): Ear ringing is persistent, being that it has continued for nearly a week I am scheduling an appointment with an ENT

Release 8 — day 7, dose 1

2021-05-04

Systemic reaction (other): Ear ringing continues, but is slightly better today. level 2 on scale of 1-10. (b)(6) submitted a VAERS report yesterday for this.

Healthcare visit (other): Awaiting referral to see ENT for ear ringing (Tinnitus)

redacted (b)(6)

Release 8 — day 14, dose 1

2021-05-13

Symptoms: Ringing in both ears is still persistent varying severity. Reached a high level on Saturday resulting in me visiting (b)(6) Express Care. They have referred me to ENT and Audiology for further evaluation.

redacted (b)(6)

Release 9 — day 42, dose 1

2021-06-09

Symptoms: Ringing in both ears has persisted with varying intensity. Some nights making it nearly impossible to sleep. Appointment with Audiologist Thurs 10 June.

Release 9 — day 0, dose 2

2021-07-12

Systemic reaction (other): Still have ear ringing following first dose, now less intense and random

Release 9 — days 1–6 daily, dose 2

2021-07-15

Systemic reaction (other): Still experiencing ringing in my ears, low level and intermittent now though

2021-07-17

Systemic reaction (other): Ringing in ears continues, level 2 of 10 currently

Release 9 — day 7, dose 2

2021-07-19

Systemic reaction (other): Ringing in ears still present, although level 1 of 10 today

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	Medical counselling	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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