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3MG-13965-01936

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
850 / AZ
Registered
2021-01-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-18
    Registered in v-safe
  2. 2021-01-18
    Dose 1 — Moderna
  3. 2021-01-18
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Just really tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-02-01
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-02-10
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-02-18
    Dose 2 — Moderna
  9. 2021-03-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-04
    Survey response — day 14, dose 2
    MedDRA: Dyspnoea — Feeling: Good
    Free text: Hard to take deep breaths
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-11
    Survey response — day 21, dose 2
    MedDRA: Ageusia, Alopecia, Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Absolve brain fog-like aphasia. I opened several bottles of my thyroid meds because I wants to fill my bottle for blood pressure. I caught myself before I doubled up on one and didnt take the other! I have no taste. My hair is falling out. Etc et
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-18
    Survey response — day 28, dose 2
    MedDRA: Ageusia, Alopecia, Memory impairment — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My memory is shot. My taste is missing. Hair is falling out
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-25
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-04-01
    Survey response — day 42, dose 2
    MedDRA: Ageusia, Amnesia, Infection — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Another infection. No taste. Memory loss
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-20
    Survey response — 3 months, dose 2
    MedDRA: Functional gastrointestinal disorder, Memory impairment — Feeling: Good
    Free text: Bowel and memory
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-08-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-02-18
    Survey response — 12 months, dose 2
    MedDRA: Alopecia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: My hair is falling out like rain. · Healthcare visit (other): Office visit and Rx
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-02-18
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2022-02-24

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Moderna
22021-02-18Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Just really tired

Release 5 — day 14, dose 2

2021-03-04

Symptoms: Hard to take deep breaths

Release 5 — day 21, dose 2

2021-03-11

Symptoms: Absolve brain fog-like aphasia. I opened several bottles of my thyroid meds because I wants to fill my bottle for blood pressure. I caught myself before I doubled up on one and didnt take the other! I have no taste. My hair is falling out. Etc et

Release 5 — day 28, dose 2

2021-03-18

Symptoms: My memory is shot. My taste is missing. Hair is falling out

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Another infection. No taste. Memory loss

Release 8 — 3 months, dose 2

2021-05-20

Symptoms: Bowel and memory

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: My hair is falling out like rain.
Healthcare visit (other): Office visit and Rx

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
HCVOOffice visit · · ✓
SDAgeusia ✓ ✓ ✓
SDAlopecia ✓ ✓ ✓
SDAmnesia ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDFunctional gastrointestinal disorder ✓ ✓ ✓
SDInfection ✓ ✓ ✓
SDMemory impairment ✓ ✓ ✓
SROFatigue ✓ ✓ ✓

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