439-43649-61710
2 vaccinations
2 coded responses
11 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 441 / OH
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-02-02
Dose 2 — Moderna
-
2021-02-05
Registered in v-safe
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: My symptoms over the 3 days following my injection were difficult to manage. I am better now but I will fill out the survey from the perspective of the days following my second injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Diarrhea, Abdominal painAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
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2021-05-07
Survey response — 3 months, dose 2MedDRA: Brain fog, Vision blurred — Feeling: Good · Be unable to do your normal daily activitiesFree text: Some days I have a foggy head and it is impossible to focus. Some of these days are worse than others. Occurs 2-3 times per month. Life is stressful and work is stressful. These episodes seem to be something other.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): My symptoms over the 3 days following my injection were difficult to manage. I am better now but I will fill out the survey from the perspective of the days following my second injection.
Release 8 — 3 months, dose 2
Symptoms: Some days I have a foggy head and it is impossible to focus. Some of these days are worse than others. Occurs 2-3 times per month. Life is stressful and work is stressful. These episodes seem to be something other.
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 |
|---|---|---|---|---|
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release