YMK-14312-90237

3 vaccinations 11 coded responses 18 check-ins 11 free-text entries 4 call cases

Sex: —
Age at first dose: 61-65
ZIP prefix: 305 / GA
Registered: 2021-04-21

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

2021-01-22
Dose 1 — Moderna
2021-02-26
Dose 2 — Moderna
2021-04-21
Registered in v-safe
2021-05-28
Survey response — 3 months, dose 2
MedDRA: Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tinnitus both ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Hypoacusis, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hearing acuity diminished with continued tinnitus

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Left Voicemail
2021-10-29
Dose 3 — Moderna
2021-10-29
Survey response — day 0, dose 3
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache

Free text: Continued tinnitus since first 2 doses

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

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Fair · Diarrhea

Free text: Tinnitus a bit more intense

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Fair

Free text: Tinnitus, ringing in ears louder

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Continued Tinnitus both ears

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-05
Survey response — day 7, dose 3
MedDRA: Tinnitus — Feeling: Fair · Chills, Headache, Fatigue or tiredness

Free text: Persistent Tinnitus

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 14, dose 3
MedDRA: Cough, Sinus congestion, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinus congestion, frequent dry cough and tinnitus is increasing after booster shot. · Healthcare visit (other): Making appointment for follow up due to increasing tinnitus

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-15
Call 1 — Left Voicemail
2021-11-16
Callback requested for
2021-11-16
Call successful
Participant prefers to complete VAERS report online
2021-11-16
Call successful
Completed over the phone
2021-11-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-27
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Cough, Pain, Pre-existing disease, Tinnitus — Feeling: Fair

Free text: Coughing and body aches. Tinnitus remains a constant issue which increased after receiving Moderna booster shot.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — 6 months, dose 3
MedDRA: Stress, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening tinnitus very stressful. Constant buzzing in my ears I never experienced prior to Moderna vaccine. Regret I received booster dose.

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Cough, Office visit, Photopsia, Pre-existing disease, Vitreous detachment, Vitreous floaters — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Joint pain, chronic dry cough, continued tinnitus and fatigue. Developed a change in right eye, vitreous detachment and flashes and floaters in eye. · Healthcare visit (other): Office visits with MD and Urgent Care for continued coughing

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-31
Call 1 — Left Voicemail
2022-11-01
Callback requested for
2022-11-01
Call successful
Reported to VAERS during previous contact from GDIT

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-26	Moderna
3	2021-10-29	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-28	Successful 2021-11-16	Participant prefers to complete VAERS report online
2021-08-27	Successful	Participant prefers to complete VAERS report online
2021-11-12	Successful 2021-11-16	Completed over the phone
2022-10-29	Successful 2022-11-01	Reported to VAERS during previous contact from GDIT

Free text

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: Tinnitus both ears

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Hearing acuity diminished with continued tinnitus

Release 10 — day 0, dose 3

2021-10-29

Systemic reaction (other): Continued tinnitus since first 2 doses

Release 10 — days 1–6 daily, dose 3

2021-11-01

Systemic reaction (other): Tinnitus a bit more intense

2021-11-02

Systemic reaction (other): Tinnitus, ringing in ears louder

2021-11-03

Systemic reaction (other): Continued Tinnitus both ears

Release 10 — day 7, dose 3

2021-11-05

Systemic reaction (other): Persistent Tinnitus

Release 10 — day 14, dose 3

2021-11-12

Symptoms: Sinus congestion, frequent dry cough and tinnitus is increasing after booster shot.

Healthcare visit (other): Making appointment for follow up due to increasing tinnitus

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Coughing and body aches. Tinnitus remains a constant issue which increased after receiving Moderna booster shot.

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: Worsening tinnitus very stressful. Constant buzzing in my ears I never experienced prior to Moderna vaccine. Regret I received booster dose.

Release 12 — 12 months, dose 3

2022-10-29

Symptoms: Joint pain, chronic dry cough, continued tinnitus and fatigue. Developed a change in right eye, vitreous detachment and flashes and floaters in eye.

Healthcare visit (other): Office visits with MD and Urgent Care for continued coughing

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	Cough	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Tinnitus	·	·	✓
SD	Arthralgia	·	·	✓
SD	Cough	·	·	✓
SD	Hypoacusis	✓	·	✓
SD	Pain	·	·	✓
SD	Photopsia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Stress	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Vitreous detachment	·	·	✓
SD	Vitreous floaters	·	·	✓
SRO	Tinnitus	·	·	✓

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