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42J-23009-42928

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
902 / CA
Registered
2021-04-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-22
    Registered in v-safe
  2. 2021-04-22
    Dose 1 — Moderna
  3. 2021-04-22
    Health check-in — day 0, dose 1
    Feeling: Fair · None
    Adult check-in
  4. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  5. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  6. 2021-04-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  7. 2021-04-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  8. 2021-04-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  9. 2021-04-29
    Health check-in — day 7, dose 1
    Feeling: Fair · None
    Adult check-in
  10. 2021-05-06
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-05-13
    Survey response — day 21, dose 1
    MedDRA: Headache — Feeling: Fair
    Free text: Severe persistent headache it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-20
    Dose 2 — Moderna
  13. 2021-05-20
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  15. 2021-05-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-05-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  17. 2021-05-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains
    Adult check-in
  18. 2021-05-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Headache, Joint pains
    Adult check-in
  19. 2021-05-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site reaction, Skin tightness — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains
    Free text: Skin around injection site has been tight the last few days - mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-27
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  21. 2021-06-03
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-06-10
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-06-17
    Survey response — day 28, dose 2
    MedDRA: Condition aggravated, Hot flush, Pre-existing disease, Temperature regulation disorder — Feeling: Fair
    Free text: I was getting hot flashes prior to the vaccine. Since getting the vaccine, the severity of the hot flashes has increased exponentially and my body's ability to regulate its temperature has become genuine problem especially at night.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-06-24
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-07-01
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-08-19
    Survey response — 3 months, dose 2
    MedDRA: Brain fog, Disturbance in attention, Headache, Sinusitis — Feeling: Fair
    Free text: I constantly feel like I have a sinus infection even though I'm not congested, I have daily headaches, I also have severe brain fog often making it very difficult to concentrate or focus
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-22Moderna
22021-05-20Moderna

Free text

Release 8 — day 21, dose 1

2021-05-13

Symptoms: Severe persistent headache it

Release 8 — days 1–6 daily, dose 2

2021-05-26

Systemic reaction (other): Skin around injection site has been tight the last few days - mild

Release 9 — day 28, dose 2

2021-06-17

Symptoms: I was getting hot flashes prior to the vaccine. Since getting the vaccine, the severity of the hot flashes has increased exponentially and my body's ability to regulate its temperature has become genuine problem especially at night.

Release 9 — 3 months, dose 2

2021-08-19

Symptoms: I constantly feel like I have a sinus infection even though I'm not congested, I have daily headaches, I also have severe brain fog often making it very difficult to concentrate or focus

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
SDBrain fog ✓ · ✓
SDCondition aggravated · · ✓
SDDisturbance in attention ✓ · ✓
SDHeadache ✓ ✓ ✓
SDHot flush ✓ ✓ ✓
SDPre-existing disease · · ✓
SDSinusitis ✓ · ✓
SDTemperature regulation disorder · · ✓
SROInjection site reaction ✓ ✓ ✓
SROSkin tightness ✓ ✓ ✓

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