YNL-28985-09416

2 vaccinations 12 coded responses 22 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 193 / PA
Registered: 2021-03-05

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

2021-03-04
Dose 1 — Moderna
2021-03-05
Registered in v-safe
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 1
MedDRA: Ear infection — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ear Infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 14, dose 1
MedDRA: Hypoacusis, Pain — Feeling: Good

Free text: My left ear is stinging again and some noises seem amplified.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 21, dose 1
MedDRA: Ear swelling, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My left ear continues to be swollen. · Healthcare visit (other): ENT appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Dose 2 — Moderna
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Tinnitus — Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ears are sore and ringing with tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Tinnitus — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Tinnitus in both ears. Sympathetic, complementary pain in arm opposite of injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Lymph node pain — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Thumb joint and lymph glands under L arm really hurts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Ears still ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Tinnitus is worse today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Ears stil ringing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 28, dose 2
MedDRA: Rash — Feeling: Fair

Free text: I have a few rashes that will not go away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 35, dose 2
MedDRA: Blood glucose increased, Localised infection, Tinnitus — Feeling: Poor · Be unable to work, 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: The tinnitus remains the same. No I have an infection on my foot and my blood sugar is elevated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-01-14
Call 1 — Left Voicemail
2022-04-01
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-25	Unsuccessful
2021-05-06	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Ear ache

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Ear Infection

Release 5 — day 14, dose 1

2021-03-18

Symptoms: My left ear is stinging again and some noises seem amplified.

Release 6 — day 21, dose 1

2021-03-25

Symptoms: My left ear continues to be swollen.

Healthcare visit (other): ENT appointment

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Ears are sore and ringing with tinnitus

2021-04-03

Systemic reaction (other): Tinnitus in both ears. Sympathetic, complementary pain in arm opposite of injection site.

2021-04-04

Systemic reaction (other): Thumb joint and lymph glands under L arm really hurts.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Ears still ringing

2021-04-07

Systemic reaction (other): Tinnitus is worse today.

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Ears stil ringing.

Release 8 — day 28, dose 2

2021-04-29

Symptoms: I have a few rashes that will not go away.

Release 8 — day 35, dose 2

2021-05-06

Symptoms: The tinnitus remains the same. No I have an infection on my foot and my blood sugar is elevated.

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	Blood glucose increased	✓	✓	✓
SD	Ear swelling	✓	✓	✓
SD	Hypoacusis	✓	✓	✓
SD	Localised infection	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Ear infection	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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