YQY-13221-32703

2 vaccinations 11 coded responses 18 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 441 / OH
Registered: 2021-01-27

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

2021-01-13
Dose 1 — Moderna
2021-01-27
Registered in v-safe
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass — Feeling: Good

Free text: Orange size lump in axilla of vaccinated arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling — Feeling: Good

Free text: Swelling in axilla if vaccinated arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good

Free text: Still have underarm swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral, Peripheral swelling — Feeling: Good

Free text: Still have underarm swelling but lessining

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 7, dose 2
MedDRA: Oedema peripheral — Feeling: Good

Free text: Still have underarm swelling on vaccinated arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-10
Survey response — day 28, dose 2
MedDRA: Ear pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Survey response — day 35, dose 2
MedDRA: Dizziness, Hypoacusis, Middle ear effusion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fluid behind both eardrums, muffled hearing, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Survey response — day 42, dose 2
MedDRA: Deafness, Ear discomfort — Feeling: Fair

Free text: Continued blocked ears and hearing loss in one ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — 3 months, dose 2
MedDRA: Acoustic neuroma, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Acoustic neuroma · Healthcare visit (other): Office visit, hearing test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Acoustic neuroma, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Acoustic neuroma diagnosis · Healthcare visit (other): Doctor office visits

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

1 call case(s)
2021-08-13
Call 1 — Left Voicemail
2022-02-10
Survey response — 12 months, dose 2
MedDRA: Acoustic neuroma, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Acoustic neuroma · Healthcare visit (other): Dr office

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-10	Unsuccessful
2021-03-17	Unsuccessful
2021-05-12	Unsuccessful
2021-08-11	Unsuccessful
2022-02-10	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Orange size lump in axilla of vaccinated arm

2021-02-14

Systemic reaction (other): Swelling in axilla if vaccinated arm

2021-02-15

Systemic reaction (other): Still have underarm swelling

2021-02-16

Systemic reaction (other): Still have underarm swelling but lessining

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): Still have underarm swelling on vaccinated arm

Release 5 — day 28, dose 2

2021-03-10

Symptoms: Earache

Release 5 — day 35, dose 2

2021-03-17

Symptoms: Fluid behind both eardrums, muffled hearing, dizziness

Release 6 — day 42, dose 2

2021-03-24

Symptoms: Continued blocked ears and hearing loss in one ear

Release 8 — 3 months, dose 2

2021-05-12

Symptoms: Acoustic neuroma

Healthcare visit (other): Office visit, hearing test

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Acoustic neuroma diagnosis

Healthcare visit (other): Doctor office visits

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Acoustic neuroma

Healthcare visit (other): Dr office

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	Acoustic neuroma	✓	✓	✓
SD	Deafness	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Hypoacusis	✓	✓	✓
SD	Middle ear effusion	✓	✓	✓
SRO	Axillary mass	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Peripheral swelling	○	✓	○
SRO	Swelling	✓	✓	✓

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