ZES-27616-44456
1 vaccination
2 coded responses
2 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 244 / VA
- Registered
- 2021-01-02
- Relationship
- Self
Timeline
-
2020-12-31
Dose 1 — Moderna
-
2021-01-02
Registered in v-safe
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2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Chills, Ear discomfort, Fatigue, Headache, Hypoacusis, Nausea, Pain — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: On 12/31/20, I started to have a headache 2 hours after receiving the vaccination. Later in the evening on 12/31/20, I started to have symptoms of chills, joint pain, body aches and nausea. These symptoms continued on 1/1/21 and became worse. Today (1/2/21), I woke up with a headache and fatigue. I also had pressure and decreased hearing in both of my ears with the right ear being worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-02
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Ear discomfort, Hypoacusis — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pressure and decreased hearing in both ears which is worse in right ear.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-03
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-02 | priority 2/3 | |
| 2021-01-03 | priority 2/3 |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): On 12/31/20, I started to have a headache 2 hours after receiving the vaccination. Later in the evening on 12/31/20, I started to have symptoms of chills, joint pain, body aches and nausea. These symptoms continued on 1/1/21 and became worse. Today (1/2/21), I woke up with a headache and fatigue. I also had pressure and decreased hearing in both of my ears with the right ear being worse.
Systemic reaction (other): Pressure and decreased hearing in both ears which is worse in right ear.
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoacusis | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release