YTG-15653-47421
2 vaccinations
8 coded responses
9 check-ins
8 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 380 / TN
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-11
Dose 1 — Moderna
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2021-04-12
Dose 2 — Moderna
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2021-04-16
Registered in v-safe
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Ear discomfort, Head discomfort — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tirednessFree text: Pressure on left side of head effecting my ear.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Ear discomfort — Feeling: Fair · Site: Itching · Headache, Joint painsFree text: Pressure on the left side of my head which effects my left ear.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 7, dose 2MedDRA: Head discomfort, Office visit — Feeling: Fair · Site: Itching · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Pressure on the left side of head · Healthcare visit (other): Visited my PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-26
Survey response — day 14, dose 2MedDRA: Migraine, Visual impairment — Feeling: Poor · Be unable to workFree text: Pixilated vision & migraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — day 21, dose 2MedDRA: Ear discomfort, Joint stiffness, Joint swelling — Feeling: Fair · Be unable to workFree text: Pressure in left ear has returned. Knees stiff & swollen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — day 28, dose 2MedDRA: Office visit, Paranasal sinus discomfort — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pressure in left ear & beginning pressure in right ear. · Healthcare visit (other): Primarily careMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-17
Survey response — day 35, dose 2MedDRA: Ear discomfort, Feeling hot, Head discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Left ear pressure has worsed. When I received my initial immunization I felt a warm sensation spead up my left arm, left side of my neck & continue up to the top of my head. I began having the feeling of pressure building up on left side of head. · Healthcare visit (other): Primarily, referred to ENTMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-02
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2021-07-19
Survey response — 3 months, dose 2MedDRA: Colitis, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Colitis Flair upMedDRA releases: 2024-11 · check-in free text available
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2021-07-19
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-24
- 2021-10-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-19 | Unsuccessful | |
| 2021-05-10 | Unsuccessful | |
| 2021-05-17 | Unsuccessful | |
| 2021-07-19 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Pressure on left side of head effecting my ear.
Systemic reaction (other): Pressure on the left side of my head which effects my left ear.
Release 7 — day 7, dose 2
Systemic reaction (other): Pressure on the left side of head
Healthcare visit (other): Visited my PCP
Release 8 — day 14, dose 2
Symptoms: Pixilated vision & migraine
Release 8 — day 21, dose 2
Symptoms: Pressure in left ear has returned. Knees stiff & swollen.
Release 8 — day 28, dose 2
Symptoms: Pressure in left ear & beginning pressure in right ear.
Healthcare visit (other): Primarily care
Release 8 — day 35, dose 2
Symptoms: Left ear pressure has worsed. When I received my initial immunization I felt a warm sensation spead up my left arm, left side of my neck & continue up to the top of my head. I began having the feeling of pressure building up on left side of head.
Healthcare visit (other): Primarily, referred to ENT
Release 9 — 3 months, dose 2
Symptoms: Colitis Flair up
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 | Colitis | · | · | ✓ |
| SD | Ear discomfort | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Head discomfort | ✓ | ✓ | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release