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2B3-30022-25232

2 vaccinations 5 coded responses 7 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
860 / AZ
Registered
2021-04-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Dose 1 — Moderna
  2. 2021-04-07
    Registered in v-safe
  3. 2021-04-08
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  4. 2021-04-15
    Survey response — day 21, dose 1
    MedDRA: Alopecia, Fatigue — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Hair loss, and bouts of extreme fatigue. Not as long as when i recieved my 1st shot, but still enough to take me out for a day. I am very concerned about my shot next week since i had such extreme side effects with #1. Cnt get into my PCP to discuss.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-20
    Dose 2 — Moderna
  6. 2021-04-27
    Survey response — day 7, dose 2
    MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-11
    Survey response — day 21, dose 2
    MedDRA: Amnesia, Confusional state, Fatigue, Headache, Memory impairment — Feeling: Poor · Be unable to do your normal daily activities
    Free text: My short term memory has gone way down hill. Since both of my shots. I had extreme confusion after the 1st, but now i have short term memory loss, often with things that happened in the past 5 min. My headaches have improved, but my fatigue is bad.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-20
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-10-19
    Survey response — 6 months, dose 2
    MedDRA: Anxiety, Arthralgia, Brain fog, Depression, Fear, Generalised oedema, Migraine — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: My depression and anxiety has been harder to keep under control. I also have a lot of joint aches and swelling globaly throughout my body. The migraine type headaches have been coming back. The brain fog is almost intollerable and very scary at times
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-04-21
    Survey response — 12 months, dose 2
    MedDRA: Amnesia, Brain fog, Confusional state, Migraine, Pain, Pre-existing disease, Speech disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Reoccuring, immediate, dibilitating migraines. Mental clarity has not improved at all, and in some ways has gotten worse, ie: memory loss, speech difficulties, general confusion. Chronic pain symptoms have worsened.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-04-21
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  12. 2022-04-25
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Moderna
22021-04-20Moderna

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-15

Symptoms: Hair loss, and bouts of extreme fatigue. Not as long as when i recieved my 1st shot, but still enough to take me out for a day. I am very concerned about my shot next week since i had such extreme side effects with #1. Cnt get into my PCP to discuss. cut off by CDC

Release 8 — day 7, dose 2

2021-04-27

Systemic reaction (other): Light headed

Release 8 — day 21, dose 2

2021-05-11

Symptoms: My short term memory has gone way down hill. Since both of my shots. I had extreme confusion after the 1st, but now i have short term memory loss, often with things that happened in the past 5 min. My headaches have improved, but my fatigue is bad. cut off by CDC

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: My depression and anxiety has been harder to keep under control. I also have a lot of joint aches and swelling globaly throughout my body. The migraine type headaches have been coming back. The brain fog is almost intollerable and very scary at times cut off by CDC

Release 11 — 12 months, dose 2

2022-04-21

Symptoms: Reoccuring, immediate, dibilitating migraines. Mental clarity has not improved at all, and in some ways has gotten worse, ie: memory loss, speech difficulties, general confusion. Chronic pain symptoms have worsened.

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

FieldPreferred term2021-092023-042024-11
SDAlopecia ✓ ✓ ✓
SDAmnesia ✓ ✓ ✓
SDAnxiety · · ✓
SDArthralgia · · ✓
SDBrain fog · · ✓
SDConfusional state ✓ ✓ ✓
SDDepression · · ✓
SDFatigue ✓ ✓ ✓
SDFear · · ✓
SDGeneralised oedema · · ✓
SDHeadache ✓ ✓ ✓
SDMemory impairment ✓ ✓ ✓
SDMigraine · · ✓
SDPain · · ✓
SDPre-existing disease · · ✓
SDSpeech disorder · · ✓
SRODizziness ✓ ✓ ✓

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