YQ5-81314-45068
4 vaccinations
4 coded responses
31 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 211 / MD
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Registered in v-safe
-
2021-02-13
Dose 1 — Moderna
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-08
-
2021-03-13
Dose 2 — Moderna
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Tinnitus is a little louder than usual starting a few hours after the second injection and continuing through today, so far.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Tinnitus — Feeling: GoodFree text: Tinnitus still louder than normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
-
2021-06-12
Survey response — 3 months, dose 2MedDRA: Heart rate abnormal — Feeling: GoodFree text: Average at rest and sleeping heart rate has not returned to normal since the second Moderna vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-11
-
2021-11-23
Dose 3 — Moderna
- 2022-03-13
-
2022-03-30
Dose 4 — Moderna
-
2022-04-29
Survey response — day 28, dose 4MedDRA: Headache, Vertigo — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: From Monday, April 4 to Friday, April 8, did not feel right. Functional, but slight headache and uneasy. On April 7, 2022, for the first time ever, experienced severe sudden onset vertigo at 8am. By 1240 pm same day, resolved. No further symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Report sent to call center — day 28, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-03
- 2022-05-04
-
2022-05-06
Call successfulParticipant prefers to complete VAERS report online
- 2022-05-11
- 2022-07-01
- 2022-09-28
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-03-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-29 | Successful 2022-05-06 |
Participant prefers to complete VAERS report online |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Tinnitus is a little louder than usual starting a few hours after the second injection and continuing through today, so far.
Systemic reaction (other): Tinnitus still louder than normal.
Release 9 — 3 months, dose 2
Symptoms: Average at rest and sleeping heart rate has not returned to normal since the second Moderna vaccination.
Release 11 — day 28, dose 4
Symptoms: From Monday, April 4 to Friday, April 8, did not feel right. Functional, but slight headache and uneasy. On April 7, 2022, for the first time ever, experienced severe sudden onset vertigo at 8am. By 1240 pm same day, resolved. No further symptoms. cut off by CDC
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 |
|---|---|---|---|---|
| SD | Headache | · | · | ✓ |
| SD | Heart rate abnormal | ✓ | ✓ | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release