2CH-22278-16663
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 787 / TX
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Moderna
- 2021-04-07
-
2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Confusional state, Memory impairment — Feeling: GoodFree text: May be unrelated, but have experienced some confusion / forgetfulness. Set the alarm clock incorrectly last night, missed a turn when running an errand, left a store without taking my purchases with me. Little things, but uncharacteristic.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Brain fog, Memory impairment, Unevaluable event — Feeling: GoodFree text: Forgot to set the alarm clock last night, but my brain function feels much better and more normal today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
-
2021-05-05
Dose 2 — Moderna
- 2021-05-05
-
2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Bradyphrenia, Brain fog, Confusional state, Pain, Thinking abnormal — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Very mild aches. Moderate brain fog where my thinking is slow/confused/off similar to the day after my first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-04
- 2021-06-09
- 2021-06-16
- 2021-08-04
- 2021-11-03
- 2022-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): May be unrelated, but have experienced some confusion / forgetfulness. Set the alarm clock incorrectly last night, missed a turn when running an errand, left a store without taking my purchases with me. Little things, but uncharacteristic.
Systemic reaction (other): Forgot to set the alarm clock last night, but my brain function feels much better and more normal today.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Very mild aches. Moderate brain fog where my thinking is slow/confused/off similar to the day after my first shot.
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 |
|---|---|---|---|---|
| SRO | Bradyphrenia | ✓ | ✓ | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Thinking abnormal | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release