YHK-18656-04331

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 805 / CO
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Survey response — day 0, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain

Free text: Arm just hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise, Nausea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Feel like I need to throw up but have not. Feel like I got covid all over again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Ringing in ears still happening since shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Good · Fatigue or tiredness

Free text: Ear ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 14, dose 2
MedDRA: Chills, Tinnitus, Tremor — Feeling: Fair

Free text: Ear ringing still going on. Sometimes gets really loud. Having to get mouth piece now due to chills and shaking has made teeth shift.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 21, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Ear still ringin since covid in November

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Survey response — day 28, dose 2
MedDRA: Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ear still ringing. Sometimes it is loud · Healthcare visit (other): ENT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-19
Survey response — day 35, dose 2
MedDRA: Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ear ringing. · Healthcare visit (other): Visit to see how to stop ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Survey response — day 42, dose 2
MedDRA: Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Ears still ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-13
Survey response — 12 months, dose 2
MedDRA: Brain fog, Temporomandibular pain and dysfunction syndrome, Tinnitus — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Ringing in ears TMJ STILL A LIYTLE BRAIN FOG

MedDRA releases: 2024-11 · check-in free text available
2022-04-13
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-04	Successful	Participant prefers to complete VAERS report online
2021-05-11	Successful	Participant prefers to complete VAERS report online
2021-05-19	Successful	Participant prefers to complete VAERS report online
2021-05-26	Successful	Participant prefers to complete VAERS report online
2022-04-13	Successful 2022-04-14	Participant prefers to complete VAERS report online

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): Arm just hurts

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Feel like I need to throw up but have not. Feel like I got covid all over again

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Ringing in ears still happening since shot

Release 7 — day 7, dose 2

2021-04-20

Systemic reaction (other): Ear ringing

Release 8 — day 14, dose 2

2021-04-27

Symptoms: Ear ringing still going on. Sometimes gets really loud. Having to get mouth piece now due to chills and shaking has made teeth shift.

Release 8 — day 21, dose 2

2021-05-04

Symptoms: Ear still ringin since covid in November

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Ear still ringing. Sometimes it is loud

Healthcare visit (other): ENT

Release 8 — day 35, dose 2

2021-05-19

Symptoms: Ear ringing.

Healthcare visit (other): Visit to see how to stop ringing

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Ears still ringing

Release 11 — 12 months, dose 2

2022-04-13

Symptoms: Ringing in ears TMJ STILL A LIYTLE BRAIN FOG

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	Brain fog	·	·	✓
SD	Chills	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Temporomandibular pain and dysfunction syndrome	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Tremor	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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