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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

  1. 2021-01-05
    Dose 1 — Moderna
  2. 2021-02-02
    Dose 2 — Moderna
  3. 2021-02-05
    Registered in v-safe
  4. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  5. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Diarrhea, Abdominal pain
    Adult check-in
  6. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  8. 2021-02-09
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-02-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-02-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-07
    Survey response — 3 months, dose 2
    MedDRA: Brain fog, Vision blurred — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  14. 2021-08-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna
22021-02-02Moderna

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-05

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

2021-05-07

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

FieldPreferred term2021-092023-042024-11
SDBrain fog ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓

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