3TF-20258-12648
2 vaccinations
5 coded responses
11 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 805 / CO
- Registered
- 2021-05-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-29
Dose 1 — Moderna
-
2021-05-27
Registered in v-safe
-
2021-05-27
Dose 2 — Moderna
- 2021-05-27
-
2021-05-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body achesAdult check-in
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2021-06-05
Survey response — day 7, dose 2MedDRA: Dyspnoea — Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mildly out of breath easily for a couple daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-10
Survey response — day 14, dose 2MedDRA: Cognitive disorder, Dysphemia, Memory impairment — Feeling: GoodFree text: I have noticed some cognitive issues. Like memory impairment just the occasional word or stutter which is not normal for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-17
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2021-07-03
Survey response — day 35, dose 2MedDRA: Headache, Pre-existing disease, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sinus and allergy problems headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-03
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-07
Call successfulParticipant prefers to complete VAERS report online
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2021-07-08
Survey response — day 42, dose 2MedDRA: Aphasia, Chiropractic, Coordination abnormal, Grip strength decreased, Nervous system disorder, Physiotherapy, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: some minor neurological glitches. this has been since the first shot. Dropping words That I should know , some coordination and fine motor in my hands. Im dropping things. minor vision blurring in the periphery and in 1 eye · Healthcare visit (other): Some physical therapy and chiropracticMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-08
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-13
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2021-11-25
Survey response — 6 months, dose 2MedDRA: Dyspnoea exertional — Feeling: Good · Be unable to do your normal daily activitiesFree text: Shortness of breath with mild exertionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-29 | Moderna | |
| 2 | 2021-05-27 | Moderna |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 8 — day 7, dose 2
Systemic reaction (other): Mildly out of breath easily for a couple days
Release 9 — day 14, dose 2
Symptoms: I have noticed some cognitive issues. Like memory impairment just the occasional word or stutter which is not normal for me.
Release 9 — day 35, dose 2
Symptoms: Sinus and allergy problems headaches
Release 9 — day 42, dose 2
Symptoms: some minor neurological glitches. this has been since the first shot. Dropping words That I should know , some coordination and fine motor in my hands. Im dropping things. minor vision blurring in the periphery and in 1 eye
Healthcare visit (other): Some physical therapy and chiropractic
Release 10 — 6 months, dose 2
Symptoms: Shortness of breath with mild exertion
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 | Chiropractic | ✓ | ✓ | ✓ |
| HCVO | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Aphasia | ✓ | ✓ | ✓ |
| SD | Cognitive disorder | ✓ | ✓ | ✓ |
| SD | Coordination abnormal | ✓ | ✓ | ✓ |
| SD | Dysphemia | ✓ | ✓ | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Grip strength decreased | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Nervous system disorder | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release