ZP6-10470-57300
4 vaccinations
6 coded responses
19 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 200 / DC
- Registered
- 2021-05-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-18
Dose 1 — Moderna
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2021-05-16
Dose 2 — Moderna
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2021-05-17
Registered in v-safe
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2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection siteFree text: The rash is not directly around the injection site but below it, a little more than halfway down the upper arm, on the outside of the arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection siteFree text: Buzzing or vibrating sensation in the ears, mainly the right ear. Started on Sunday after receiving the second vaccine dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: The buzzing/tinnitus-like symptoms in my right ear seem to have diminished slightly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: Still intermittent buzzing/tinnitus in right ear.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Survey response — day 7, dose 2MedDRA: Rash, Tinnitus — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection siteFree text: Still experiencing a fluttering or buzzing sensation in right ear. Rash on left arm still visible but starting to fade.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-30
Survey response — day 14, dose 2MedDRA: Arthralgia, Pain in extremity, Rash — Feeling: GoodFree text: In addition to the initial arm soreness (which resolved after about 3 or 4 days), and the arm rash which has still not completely faded, I have started to experience what seems like joint pain in my hips, which I have never experienced before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
- 2021-06-20
- 2021-06-27
- 2021-08-15
- 2021-11-14
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2021-11-21
Dose 3 — Moderna
- 2022-05-18
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2022-05-27
Dose 4 — Moderna
- 2022-06-19
- 2022-06-24
- 2022-07-01
- 2022-07-10
- 2022-08-27
- 2022-11-25
- 2023-05-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-18 | Moderna | |
| 2 | 2021-05-16 | Moderna | |
| 3 | 2021-11-21 | Moderna | No |
| 4 | 2022-05-27 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): The rash is not directly around the injection site but below it, a little more than halfway down the upper arm, on the outside of the arm.
Systemic reaction (other): Buzzing or vibrating sensation in the ears, mainly the right ear. Started on Sunday after receiving the second vaccine dose.
Systemic reaction (other): The buzzing/tinnitus-like symptoms in my right ear seem to have diminished slightly.
Systemic reaction (other): Still intermittent buzzing/tinnitus in right ear.
Release 8 — day 7, dose 2
Systemic reaction (other): Still experiencing a fluttering or buzzing sensation in right ear. Rash on left arm still visible but starting to fade.
Release 8 — day 14, dose 2
Symptoms: In addition to the initial arm soreness (which resolved after about 3 or 4 days), and the arm rash which has still not completely faded, I have started to experience what seems like joint pain in my hips, which I have never experienced before.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release