ZHD-23639-88150
3 vaccinations
11 coded responses
34 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 986 / WA
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
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2020-12-28
Dose 1 — Moderna
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
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2021-01-11
Survey response — day 14, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: Itchy injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-20
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2021-01-24
Dose 2 — Moderna
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2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
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2021-02-07
Survey response — day 14, dose 2MedDRA: Nausea, Tinnitus — Feeling: GoodFree text: Ringing in my ears. Persistent mild nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — day 21, dose 2MedDRA: Headache, Nausea, Tinnitus — Feeling: GoodFree text: H/A. Ringing in my ears. Some nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — day 28, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Ringing in my earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — day 35, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Ringing my my ears. Its constantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — day 42, dose 2MedDRA: Tinnitus — Feeling: FairFree text: I have had loud ringing in my ears ever since the second shot. Its worse now than two weeks agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — 3 months, dose 2MedDRA: Lip swelling, Tinnitus — Feeling: Fair · 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: CONSTANT TINNITUS. LIP SWELLINGMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-25
Survey response — 6 months, dose 2MedDRA: Lip swelling, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Three times since the vaccine I have had extreme lip swelling. I also have almost constant tinnitus. I had neither of these before the vaccine eMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
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2022-03-23
Dose 3 — Moderna
- 2022-03-23
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2022-03-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2022-03-26
- 2022-03-27
- 2022-03-28
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2022-04-01
Survey response — day 7, dose 3MedDRA: Tinnitus — Feeling: FairFree text: Severe ringing in the earsMedDRA releases: 2024-11 · check-in free text available
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2022-04-06
Survey response — day 14, dose 3MedDRA: Tinnitus — Feeling: GoodFree text: Extreme tinnitusMedDRA releases: 2024-11 · check-in free text available
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2022-04-13
Survey response — day 21, dose 3MedDRA: Tinnitus — Feeling: GoodFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-24 | Moderna | |
| 3 | 2022-03-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-25 | Unsuccessful | |
| 2021-07-25 | Unsuccessful |
Free text
Release 1 — day 14, dose 1
Symptoms: Itchy injection site
Release 3 — day 14, dose 2
Symptoms: Ringing in my ears. Persistent mild nausea
Release 4 — day 21, dose 2
Symptoms: H/A. Ringing in my ears. Some nausea
Release 4 — day 28, dose 2
Symptoms: Ringing in my ears
Release 4 — day 35, dose 2
Symptoms: Ringing my my ears. Its constant
Release 5 — day 42, dose 2
Symptoms: I have had loud ringing in my ears ever since the second shot. Its worse now than two weeks ago
Release 7 — 3 months, dose 2
Symptoms: CONSTANT TINNITUS. LIP SWELLING
Release 9 — 6 months, dose 2
Symptoms: Three times since the vaccine I have had extreme lip swelling. I also have almost constant tinnitus. I had neither of these before the vaccine e
Release 11 — day 7, dose 3
Systemic reaction (other): Severe ringing in the ears
Release 11 — day 14, dose 3
Symptoms: Extreme tinnitus
Release 11 — day 21, dose 3
Symptoms: Tinnitus
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 | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Lip swelling | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release