3XM-77288-59766
2 vaccinations
4 coded responses
4 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 800 / CO
- Registered
- 2021-06-02
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-20
Dose 1 — Moderna
-
2021-04-17
Dose 2 — Moderna
-
2021-06-02
Registered in v-safe
-
2021-06-02
Survey response — day 42, dose 2MedDRA: Disturbance in attention, Dizziness, Fatigue, Headache, Hyperacusis, Photophobia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: horrible concussion like symptoms. Dizziness non stop, fatigue, trouble focusing, sensitivity to light and soundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-17
Survey response — 3 months, dose 2MedDRA: Anxiety, Brain fog, Concussion, Depression, Disturbance in attention, Dizziness, Fatigue, Nausea, Office visit, Photophobia — 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 · Telehealth, virtual health, or email health consultationFree text: Symptoms: concussion like symptoms sensitivity to light sound difficulty concentrating naseous and dizzy. Chronic fatigue and brain fog. Severe depression and anxiety · Healthcare visit (other): several crisis centers for mental healthMedDRA releases: 2024-11 · check-in free text available
-
2021-07-17
Report sent to call center — 3 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 pr1 call case(s)
- 2021-07-26
-
2021-10-18
Survey response — 6 months, dose 2MedDRA: Amnesia, Brain fog, Depression, Disturbance in attention, Hyperacusis, Photophobia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: severe brain fog, sound and light sensitivity, trouble focusing, memory loss, and depressionMedDRA releases: 2024-11 · check-in free text available
-
2022-04-17
Survey response — 12 months, dose 2MedDRA: Dizziness — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: dizzinessMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — day 42, dose 2
Symptoms: horrible concussion like symptoms. Dizziness non stop, fatigue, trouble focusing, sensitivity to light and sound
Release 9 — 3 months, dose 2
Symptoms: concussion like symptoms sensitivity to light sound difficulty concentrating naseous and dizzy. Chronic fatigue and brain fog. Severe depression and anxiety
Healthcare visit (other): several crisis centers for mental health
Release 10 — 6 months, dose 2
Symptoms: severe brain fog, sound and light sensitivity, trouble focusing, memory loss, and depression
Release 11 — 12 months, dose 2
Symptoms: dizziness
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 | Amnesia | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Concussion | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Disturbance in attention | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hyperacusis | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Photophobia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release