35J-27565-85581
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 070 / NJ
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
- 2021-03-23
- 2021-03-24
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
-
2021-04-13
Survey response — day 21, dose 1MedDRA: Fatigue, Headache — Feeling: FairFree text: Headaches dailyOverwhelming fatigue that lasted about three days. Now its just a daily headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Dose 2 — Moderna
-
2021-04-22
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · HeadacheFree text: Tickle in my ears!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-24
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-06
- 2021-05-13
-
2021-05-20
Survey response — day 28, dose 2MedDRA: Brain fog — Feeling: GoodFree text: I can blame the vaccine and I would do it again but there have been some days of what I can only describe as brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-03
- 2021-07-22
- 2021-10-21
-
2022-04-24
Survey response — 12 months, dose 2MedDRA: Allergy to metals, Hypersensitivity, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I have developed an allergy to gold. I can't wear my wedding band and often experience allergic reactions on my eyelids. I've been two the eye doc, dermatologist and allergist. Identified an allergy to gold all three have said likely Covid related · Healthcare visit (other): Doctors officeMedDRA releases: 2024-11 · check-in free text available
-
2022-04-24
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-27
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-22 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 21, dose 1
Symptoms: Headaches dailyOverwhelming fatigue that lasted about three days. Now its just a daily headache.
Release 7 — day 0, dose 2
Systemic reaction (other): Tickle in my ears!
Release 8 — day 28, dose 2
Symptoms: I can blame the vaccine and I would do it again but there have been some days of what I can only describe as brain fog
Release 11 — 12 months, dose 2
Symptoms: I have developed an allergy to gold. I can't wear my wedding band and often experience allergic reactions on my eyelids. I've been two the eye doc, dermatologist and allergist. Identified an allergy to gold all three have said likely Covid related
Healthcare visit (other): Doctors office
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Allergy to metals | · | · | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release