ZWU-29913-92525

4 vaccinations 6 coded responses 31 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 805 / CO
Registered: 2021-02-19

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-21
Dose 1 — Moderna
2021-02-18
Dose 2 — Moderna
2021-02-19
Registered in v-safe
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Toothache — Feeling: Good · Site: Pain

Free text: Teeth pain? May not be related?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — 3 months, dose 2
MedDRA: Lung disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Persistent nocturnal expiratory lung find crackles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Acoustic stimulation tests abnormal, Deafness unilateral, Sudden hearing loss, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tinnitus and sudden hearing loss verified by a hearing testI noticed it about the time I got the Moderna vaccine and finally got tested and sure enough, hearing loss. Hearing was fine when tested two years ago. Significant hearing loss in R ear.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-20
Call 1 — Could Not Reach Participant
2021-08-25
Call 2 — Left Voicemail
2021-08-25
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-08-25
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-09-18
Dose 3 — Moderna
2021-10-25
Survey response — day 35, dose 3
MedDRA: Deafness unilateral — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sudden Unilateral hearing loss; ECOG test negative for MeuniÃ¨re

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-26
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-10-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-31
Dose 4 — Pfizer-BioNTech
2022-06-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-06-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-07
Survey response — day 7, dose 4
MedDRA: Tinnitus — Feeling: Good

Free text: Ringing in my ears

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-02
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-03
Survey response — 12 months, dose 4
MedDRA: Cardiac sarcoidosis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-06-03
Call case (no matching report) — Unsuccessful
2023-06-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna
3	2021-09-18	Moderna	No
4	2022-05-31	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Teeth pain? May not be related?

Release 8 — 3 months, dose 2

2021-05-20

Symptoms: Persistent nocturnal expiratory lung find crackles

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Tinnitus and sudden hearing loss verified by a hearing testI noticed it about the time I got the Moderna vaccine and finally got tested and sure enough, hearing loss. Hearing was fine when tested two years ago. Significant hearing loss in R ear.

Release 10 — day 35, dose 3

2021-10-25

Symptoms: Sudden Unilateral hearing loss; ECOG test negative for MeuniÃ¨re

Release 11 — day 7, dose 4

2022-06-07

Systemic reaction (other): Ringing in my ears

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	Acoustic stimulation tests abnormal	✓	·	✓
SD	Cardiac sarcoidosis	·	·	✓
SD	Deafness unilateral	✓	·	✓
SD	Lung disorder	✓	✓	✓
SD	Sudden hearing loss	✓	·	✓
SD	Tinnitus	✓	·	✓
SRO	Tinnitus	·	·	✓
SRO	Toothache	✓	✓	✓

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