YAG-25897-19308
4 vaccinations
11 coded responses
40 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 770 / TX
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-01-29
Registered in v-safe
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sounds ringing in ears and some dizziness. Dizziness seems to have abatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
-
2021-03-18
Survey response — day 21, dose 2MedDRA: Chest pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Severe pain chest and torso awoke me in the night · Healthcare visit (other): Office visit and tests to determine whether there could be a heart condition or not. Preliminary results indicate no blockage. Final test results pending. I have no idea whether these symptoms are related to vaccine or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-26
-
2021-11-03
Dose 3 — Moderna
- 2021-12-23
- 2022-02-25
-
2022-06-01
Dose 4 — Moderna
- 2022-06-01
-
2022-06-02
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: Loud buzzing in earsMedDRA releases: 2024-11 · check-in free text available
-
2022-06-03
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Good · Site: PainFree text: Low level buzzing in earsMedDRA releases: 2024-11 · check-in free text available
-
2022-06-04
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: GoodFree text: Buzzing in earsMedDRA releases: 2024-11 · check-in free text available
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2022-06-05
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: GoodFree text: Buzzing in earsMedDRA releases: 2024-11 · check-in free text available
-
2022-06-06
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: GoodFree text: Buzzing in earsMedDRA releases: 2024-11 · check-in free text available
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2022-06-07
Survey response — days 1–6 daily, dose 4MedDRA: Tinnitus — Feeling: Good · HeadacheFree text: Buzzing in earsMedDRA releases: 2024-11 · check-in free text available
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2022-06-08
Survey response — day 7, dose 4MedDRA: Tinnitus — Feeling: GoodFree text: Buzzing in earsMedDRA releases: 2024-11 · check-in free text available
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2022-06-15
Survey response — day 14, dose 4MedDRA: Sinus disorder, Tinnitus — Feeling: FairFree text: Sinus issues new since I got booster but most likely completely unrelated. Ears still buzzingMedDRA releases: 2024-11 · check-in free text available
- 2022-06-22
- 2022-06-29
- 2022-07-06
- 2022-07-13
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2022-08-31
Survey response — 3 months, dose 4MedDRA: Uveitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: UveitisMedDRA releases: 2024-11 · check-in free text available
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2022-08-31
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-01
- 2022-09-01
- 2022-11-30
- 2023-06-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-06-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-18 | Unsuccessful | |
| 2022-08-31 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sounds ringing in ears and some dizziness. Dizziness seems to have abated
Release 5 — day 21, dose 2
Symptoms: Severe pain chest and torso awoke me in the night
Healthcare visit (other): Office visit and tests to determine whether there could be a heart condition or not. Preliminary results indicate no blockage. Final test results pending. I have no idea whether these symptoms are related to vaccine or not.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Loud buzzing in ears
Systemic reaction (other): Low level buzzing in ears
Systemic reaction (other): Buzzing in ears
Systemic reaction (other): Buzzing in ears
Systemic reaction (other): Buzzing in ears
Systemic reaction (other): Buzzing in ears
Release 11 — day 7, dose 4
Systemic reaction (other): Buzzing in ears
Release 12 — day 14, dose 4
Symptoms: Sinus issues new since I got booster but most likely completely unrelated. Ears still buzzing
Release 12 — 3 months, dose 4
Symptoms: Uveitis
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Uveitis | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release