YKX-17708-67205

4 vaccinations 9 coded responses 31 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 395 / MS
Registered: 2021-03-18

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

2021-01-28
Dose 1 — Moderna
2021-02-25
Dose 2 — Moderna
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Survey response — day 42, dose 2
MedDRA: Tinnitus — Feeling: Fair

Free text: Tinnitus since my 2nd dose is still recurring. Of course, not positive this is related to the vaccine. But it did start the day after 2nd dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-28
Survey response — day 0, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: May be too soon to tell

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus, Vaccine positive rechallenge — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ringing ears (just like after my 2nd vaccine dose)

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Ringing ears

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: My arm at injection site is still sore, 6 days later.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-28
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-06-10
Dose 4 — Moderna
2022-06-15
Survey response — days 1–6 daily, dose 4
MedDRA: Tinnitus — Feeling: Fair · Fatigue or tiredness

Free text: Ringing ears

MedDRA releases: 2024-11 · check-in free text available
2022-06-16
Survey response — days 1–6 daily, dose 4
MedDRA: Sinusitis — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Probably have an unrelated sinus infection.

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Survey response — day 7, dose 4
MedDRA: SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Sinus infection · Healthcare visit (other): Doctor visit. Had negative Covid test.

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Report sent to call center — day 7, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-24
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-07-01
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-07-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-09
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-12-09
Survey response — 6 months, dose 4
MedDRA: Asthenia, COVID-19, Cough, Headache, Pain, Respiratory tract congestion, Wheezing — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I can't recall the last time I checked in, but I did have COVID 9-17-22 with symptoms for almost 2 weeks. Headache, body ache, congestion, cough, wheezing, weakness.

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-12
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-06-12
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-25	Moderna
3	2021-10-28	Moderna	No
4	2022-06-10	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-06-17	Successful 2022-06-22	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-09	Successful 2022-12-12	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — day 42, dose 2

2021-04-08

Symptoms: Tinnitus since my 2nd dose is still recurring. Of course, not positive this is related to the vaccine. But it did start the day after 2nd dose.

Release 10 — day 0, dose 3

2021-10-28

Systemic reaction (other): May be too soon to tell

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Ringing ears (just like after my 2nd vaccine dose)

2021-10-30

Systemic reaction (other): Ringing ears

2021-11-03

Systemic reaction (other): My arm at injection site is still sore, 6 days later.

Release 12 — days 1–6 daily, dose 4

2022-06-15

Systemic reaction (other): Ringing ears

2022-06-16

Systemic reaction (other): Probably have an unrelated sinus infection.

Release 12 — day 7, dose 4

2022-06-17

Systemic reaction (other): Sinus infection

Healthcare visit (other): Doctor visit. Had negative Covid test.

Release 12 — 6 months, dose 4

2022-12-09

Symptoms: I can't recall the last time I checked in, but I did have COVID 9-17-22 with symptoms for almost 2 weeks. Headache, body ache, congestion, cough, wheezing, weakness.

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	SARS-CoV-2 test negative	·	·	✓
SD	Asthenia	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Headache	·	·	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Wheezing	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Sinusitis	·	·	✓
SRO	Tinnitus	·	·	✓
SRO	Unevaluable event	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓

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