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YGT-13771-32110

2 vaccinations 10 coded responses 15 check-ins 10 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
856 / AZ
Registered
2021-04-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-24
    Dose 1 — Moderna
  2. 2021-04-21
    Dose 2 — Moderna
  3. 2021-04-22
    Registered in v-safe
  4. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Sciatica, Tinnitus — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Tinnitus with 1st and 2nd shots! Sciatica with first shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease, Sciatica, Tinnitus — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Tinnitus and sciatica flare up in legs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity, Sciatica, Tinnitus — Feeling: Fair · Muscle or body aches
    Free text: Tinnitus, sciatica pain in legs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Sciatica, Tinnitus — Feeling: Fair · Joint pains
    Free text: Tinnitus and sciatica
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Sciatica, Tinnitus — Feeling: Fair · Joint pains · Be unable to do your normal daily activities
    Free text: Tinnitus and sciatica in legs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Sciatica, Tinnitus — Feeling: Fair · Joint pains · Be unable to do your normal daily activities
    Free text: Tinnitus and sciatica in legs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-28
    Survey response — day 7, dose 2
    MedDRA: Arthralgia, Sciatica, Tinnitus — Feeling: Fair · Joint pains · Be unable to do your normal daily activities
    Free text: Tinnitus and sciatica in legs. Bad knee pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-05
    Survey response — day 14, dose 2
    MedDRA: Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Tinnitus is worse · Healthcare visit (other): Primary care Dr appt and Audiologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-05
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-05-19
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Condition aggravated, Myalgia, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Joint and muscle pain appears worse. Still have lingering tinnitus.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-26
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Myalgia, Rash, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Rash on neck, continuing joint and muscle pain and tinnitus.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-04
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-07-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-04-15
  20. 2022-04-20
  21. 2022-04-21
  22. 2022-04-23
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-21Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-05 Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Tinnitus with 1st and 2nd shots! Sciatica with first shot.

2021-04-23

Systemic reaction (other): Tinnitus and sciatica flare up in legs

2021-04-24

Systemic reaction (other): Tinnitus, sciatica pain in legs

2021-04-25

Systemic reaction (other): Tinnitus and sciatica

2021-04-26

Systemic reaction (other): Tinnitus and sciatica in legs

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Tinnitus and sciatica in legs

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Tinnitus and sciatica in legs. Bad knee pain

Release 8 — day 14, dose 2

2021-05-05

Symptoms: Tinnitus is worse
Healthcare visit (other): Primary care Dr appt and Audiologist

Release 8 — day 28, dose 2

2021-05-19

Symptoms: Joint and muscle pain appears worse. Still have lingering tinnitus.

Release 8 — day 35, dose 2

2021-05-26

Symptoms: Rash on neck, continuing joint and muscle pain and tinnitus.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ○
SROPre-existing disease ✓ ✓ ✓
SROSciatica ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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