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YY5-30803-75337

1 vaccination 5 coded responses 8 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
334 / FL
Registered
2021-06-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-08
    Dose 1 — Moderna
  2. 2021-06-21
    Registered in v-safe
  3. 2021-06-21
    Survey response — day 7, dose 1
    MedDRA: Tinnitus — Feeling: Poor · Site: Redness, Swelling, Itching · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: POUNDING IN EAR / TINNITUS
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-06-22
    Survey response — day 14, dose 1
    MedDRA: Cardiac discomfort, Fatigue, Headache, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My last entry was for 6/8. I've been experiencing headaches, pounding in right ear, tightening of heart & fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-07-01
    Survey response — day 21, dose 1
    MedDRA: Parosmia — Feeling: Fair
    Free text: Phantom smells - like chemicals that no one else smells but me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-07-06
    Survey response — day 28, dose 1
    MedDRA: Dyspnoea, Exercise tolerance decreased, Heart rate increased, Palpitations — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Unexoected severe lack of stamina / endurance while doing normal strenuous exercises. Unusually high heart rate. Difficulty bringing heart rate down & catching breath. Racing heart rate.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-07-22
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-09-09
    Survey response — 3 months, dose 1
    MedDRA: Heart rate increased, Tinnitus — Feeling: Good
    Free text: Still have pounding in right esr but less intense. Still have intermittent soikes in heart rate but less frequent or severe.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-07
    Health check-in — 6 months, dose 1
    Feeling: Fair
    Adult check-in
  10. 2022-06-08
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-06-08Moderna No

Free text

Release 9 — day 7, dose 1

2021-06-21

Systemic reaction (other): POUNDING IN EAR / TINNITUS

Release 9 — day 14, dose 1

2021-06-22

Symptoms: My last entry was for 6/8. I've been experiencing headaches, pounding in right ear, tightening of heart & fatigue.

Release 9 — day 21, dose 1

2021-07-01

Symptoms: Phantom smells - like chemicals that no one else smells but me.

Release 9 — day 28, dose 1

2021-07-06

Symptoms: Unexoected severe lack of stamina / endurance while doing normal strenuous exercises. Unusually high heart rate. Difficulty bringing heart rate down & catching breath. Racing heart rate.

Release 9 — 3 months, dose 1

2021-09-09

Symptoms: Still have pounding in right esr but less intense. Still have intermittent soikes in heart rate but less frequent or severe.

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

FieldPreferred term2021-092023-042024-11
SDCardiac discomfort ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDExercise tolerance decreased ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHeart rate increased ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SDParosmia ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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