YAV-13519-24681

2 vaccinations 16 coded responses 17 check-ins 16 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 900 / CA
Registered: 2021-04-30

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

2021-04-29
Dose 1 — Moderna
2021-04-30
Registered in v-safe
2021-04-30
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus, Vertigo — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Mild vertigo and tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus, Vertigo — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tinnitus and vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus, Vertigo — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tinnitus, slight vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 7, dose 1
MedDRA: Tinnitus — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Worsened tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 21, dose 1
MedDRA: Tinnitus, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vertigo, Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Dose 2 — Moderna
2021-05-27
Survey response — day 0, dose 2
MedDRA: Hypoacusis, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Losing hearing in my right ear, muffled sounding in the left ear is starting to do the same. · Healthcare visit (other): Contacted my neurologist and waiting for a callback from her this evening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — day 0, 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)
2021-05-28
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoacusis, Medical counselling — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Clogging in my right ear partial hearing loss And weird fluttering sounds at times · Healthcare visit (other): Phone consultation with neurologist. I have MÃ©niÃ¨res disease and I was told by her that another patient of hers that has many years also had the same reaction to the Covid shot. You guys need to pay attention to this because my neurologist believes that the Covid shot may be causing dropsy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — days 1–6 daily, 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)
2021-05-29
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness, Tinnitus — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Tinnitus and mild hearing loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Tinnitus — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Tinnitus and clogged ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — days 1–6 daily, dose 2
MedDRA: Ear congestion, Tinnitus — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Tinnitus, ear stuffiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Tinnitus — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tinnitus, mild clogging in the ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — day 7, dose 2
MedDRA: Ear discomfort, Tinnitus — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe tinnitus and clogging, stuffiness in my right ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — day 14, dose 2
MedDRA: Medical counselling, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe increased tinnitus · Healthcare visit (other): Messaging with my doctor and arranging for prescriptions like prednisone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-06-19
Survey response — day 21, dose 2
MedDRA: Diplopia, Dizziness, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Horrible loud tonight is worse than its ever been, and some dizziness but I dont know if I can attribute that to the vaccine. I also have double vision sometimes · Healthcare visit (other): Ophthalmologist visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
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)
2021-06-24
Call 1 — Left Voicemail
2021-06-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-01
Survey response — day 35, dose 2
MedDRA: Ear discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: Horrible to notice and fluttering in my right ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-29	Moderna
2	2021-05-27	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-27	Unsuccessful
2021-05-28	Unsuccessful
2021-06-10	Unsuccessful
2021-06-19	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-30

Systemic reaction (other): Mild vertigo and tinnitus

2021-05-01

Systemic reaction (other): Tinnitus and vertigo

2021-05-04

Systemic reaction (other): Tinnitus, slight vertigo

2021-05-05

Systemic reaction (other): Tinnitus

Release 8 — day 7, dose 1

2021-05-08

Systemic reaction (other): Worsened tinnitus

Release 8 — day 21, dose 1

2021-05-20

Symptoms: Vertigo, Tinnitus

Release 8 — day 0, dose 2

2021-05-27

Systemic reaction (other): Losing hearing in my right ear, muffled sounding in the left ear is starting to do the same.

Healthcare visit (other): Contacted my neurologist and waiting for a callback from her this evening

Release 8 — days 1–6 daily, dose 2

2021-05-28

Systemic reaction (other): Clogging in my right ear partial hearing loss And weird fluttering sounds at times

Healthcare visit (other): Phone consultation with neurologist. I have MÃ©niÃ¨res disease and I was told by her that another patient of hers that has many years also had the same reaction to the Covid shot. You guys need to pay attention to this because my neurologist believes that the Covid shot may be causing dropsy

2021-05-29

Systemic reaction (other): Tinnitus and mild hearing loss

2021-05-30

Systemic reaction (other): Tinnitus and clogged ears

2021-05-31

Systemic reaction (other): Tinnitus, ear stuffiness

2021-06-01

Systemic reaction (other): Tinnitus, mild clogging in the ear

Release 8 — day 7, dose 2

2021-06-05

Systemic reaction (other): Severe tinnitus and clogging, stuffiness in my right ear

Release 9 — day 14, dose 2

2021-06-10

Symptoms: Severe increased tinnitus

Healthcare visit (other): Messaging with my doctor and arranging for prescriptions like prednisone

Release 9 — day 21, dose 2

2021-06-19

Symptoms: Horrible loud tonight is worse than its ever been, and some dizziness but I dont know if I can attribute that to the vaccine. I also have double vision sometimes

Healthcare visit (other): Ophthalmologist visit

Release 9 — day 35, dose 2

2021-07-01

Symptoms: Horrible to notice and fluttering in my right ear

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	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Diplopia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Deafness	✓	✓	✓
SRO	Deafness unilateral	○	○	○
SRO	Ear congestion	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Hypoacusis	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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