YEM-31420-18172

4 vaccinations 12 coded responses 30 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 339 / FL
Registered: 2021-03-19

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Moderna
2021-03-19
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair

Free text: Woke up with what I believe could be tinnitus in my left and I can't hear out of it and had cricket sounds this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoacusis, Tinnitus — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Tinnitus is better today, but still not fully hearing as I should.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Ear is getting clearer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: Ear is better today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Ear is even better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Ear is now good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-16
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: A little light headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Nausea

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 28, dose 2
MedDRA: Axillary pain — Feeling: Good

Free text: After my shot, my armpit ached for a few days, then my arm near my pit had gotten sore, I thought I must had done something to it. But it's still going on, but getting better, just thought I should mention it. Otherwise all is good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 42, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: Not the armpit but my left underarm still sore at times. Sort of feels like I lifted too much weight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Oedema peripheral, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Its but new but it is continuing. My armpit is still swollen from my second vaccination, its been 12 weeks since my vaccination. Going to the doctor today. Already had a mammo and it came out ok. Whats next i dont know. · Healthcare visit (other): Mammogram and doctor appt today.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Call 1 — Left Voicemail
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Ageusia, Anosmia, COVID-19 — Feeling: Fair

Free text: Diagnosed with covid 10/2/2021. Still experiencing no taste or smell.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Dose 3 — Moderna
2022-04-16
Survey response — 12 months, dose 2
MedDRA: Nasal septum deviation — Feeling: Good

Free text: Deviated septum

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Dose 4 — Moderna
2022-05-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna
3	2021-12-17	Moderna	No
4	2022-04-17	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-16	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Woke up with what I believe could be tinnitus in my left and I can't hear out of it and had cricket sounds this morning.

2021-03-22

Systemic reaction (other): Tinnitus is better today, but still not fully hearing as I should.

2021-03-23

Systemic reaction (other): Ear is getting clearer

2021-03-24

Systemic reaction (other): Ear is better today

2021-03-25

Systemic reaction (other): Ear is even better today.

Release 6 — day 7, dose 1

2021-03-28

Systemic reaction (other): Ear is now good

Release 7 — day 0, dose 2

2021-04-16

Systemic reaction (other): A little light headedness

Release 8 — day 28, dose 2

2021-05-14

Symptoms: After my shot, my armpit ached for a few days, then my arm near my pit had gotten sore, I thought I must had done something to it. But it's still going on, but getting better, just thought I should mention it. Otherwise all is good.

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Not the armpit but my left underarm still sore at times. Sort of feels like I lifted too much weight

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: Its but new but it is continuing. My armpit is still swollen from my second vaccination, its been 12 weeks since my vaccination. Going to the doctor today. Already had a mammo and it came out ok. Whats next i dont know.

Healthcare visit (other): Mammogram and doctor appt today.

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Diagnosed with covid 10/2/2021. Still experiencing no taste or smell.

Release 11 — 12 months, dose 2

2022-04-16

Symptoms: Deviated septum

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Axillary pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Nasal septum deviation	·	·	✓
SD	Oedema peripheral	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypoacusis	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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