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
-
2021-03-23
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
- 2021-04-08
-
2021-04-15
Survey response — day 21, dose 1MedDRA: Alopecia, Fatigue — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
-
2021-04-20
Dose 2 — Moderna
-
2021-04-27
Survey response — day 7, dose 2MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Survey response — day 21, dose 2MedDRA: Amnesia, Confusional state, Fatigue, Headache, Memory impairment — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
- 2021-05-20
-
2021-10-19
Survey response — 6 months, dose 2MedDRA: 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 activitiesFree 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 timesMedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Survey response — 12 months, dose 2MedDRA: 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 visitFree 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
-
2022-04-21
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-25
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 7 — day 21, dose 1
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
Systemic reaction (other): Light headed
Release 8 — day 21, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Alopecia | ✓ | ✓ | ✓ |
| SD | Amnesia | ✓ | ✓ | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Confusional state | ✓ | ✓ | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Fear | · | · | ✓ |
| SD | Generalised oedema | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Speech disorder | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release