ZYJ-19010-67649

2 vaccinations 10 coded responses 26 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 080 / NJ
Registered: 2021-06-11

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-06-11
Registered in v-safe
2021-06-11
Dose 1 — Moderna
2021-06-11
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-06-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-06-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-25
Survey response — day 14, dose 1
MedDRA: Arrhythmia, Tinnitus — Feeling: Good

Free text: Heart arrhythmia (infrequent for a few seconds each time) and ringing in the ears (about one or two episodes most days).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-07-09
Dose 2 — Moderna
2021-07-09
Survey response — day 0, dose 2
MedDRA: Neck pain — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Slight pain in neck area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Survey response — days 1–6 daily, dose 2
MedDRA: Arrhythmia, Tachycardia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Arrhythmia with tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — days 1–6 daily, dose 2
MedDRA: Arrhythmia, Tachycardia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Arrhythmia with tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Tinnitusintermittent past 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-16
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-06
Survey response — day 28, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: I have been experiencing ear ringing since about day 2 of the second vaccine shot. I didnt know this was a possible side effect until recently. This happens about 2-3 times a day.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Survey response — day 35, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: The ringing in my ears is more frequent each week.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Survey response — day 42, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: The ear-ringing, which began just after shot#2, is getting worse and more frequent. I did not have this issue before the vaccine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-08
Survey response — 3 months, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: The ear ringing is several episodes a day now.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-07-10
Survey response — 12 months, dose 2
MedDRA: Arrhythmia, Hospitalisation — Feeling: Good · Be unable to do your normal daily activities

Free text: Hospitalized for heart arrhythmia

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-11	Moderna
2	2021-07-09	Moderna	No

Free text

Release 9 — day 14, dose 1

2021-06-25

Symptoms: Heart arrhythmia (infrequent for a few seconds each time) and ringing in the ears (about one or two episodes most days).

Release 9 — day 0, dose 2

2021-07-09

Systemic reaction (other): Slight pain in neck area

Release 9 — days 1–6 daily, dose 2

2021-07-10

Systemic reaction (other): Arrhythmia with tachycardia

2021-07-11

Systemic reaction (other): Arrhythmia with tachycardia

2021-07-12

Systemic reaction (other): Tinnitusintermittent past 2 days

Release 9 — day 28, dose 2

2021-08-06

Symptoms: I have been experiencing ear ringing since about day 2 of the second vaccine shot. I didnt know this was a possible side effect until recently. This happens about 2-3 times a day.

Release 9 — day 35, dose 2

2021-08-13

Symptoms: The ringing in my ears is more frequent each week.

Release 9 — day 42, dose 2

2021-08-20

Symptoms: The ear-ringing, which began just after shot#2, is getting worse and more frequent. I did not have this issue before the vaccine.

Release 10 — 3 months, dose 2

2021-10-08

Symptoms: The ear ringing is several episodes a day now.

Release 12 — 12 months, dose 2

2022-07-10

Symptoms: Hospitalized for heart arrhythmia

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	Arrhythmia	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Arrhythmia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Tachycardia	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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