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45X-29645-85751

1 vaccination 8 coded responses 9 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
750 / TX
Registered
2021-01-22
Relationship
Self

Timeline

  1. 2021-01-22
    Registered in v-safe
  2. 2021-01-22
    Dose 1 — Moderna
  3. 2021-01-22
    Survey response — day 0, dose 1
    MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea
    Free text: Fuzzy cloudy thinking
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paraesthesia, Paraesthesia oral — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness
    Free text: Tingling sensation on cheeks/ mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia oral, Musculoskeletal stiffness, Paraesthesia, Paraesthesia oral, Self-medication — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Free text: Neck stiffness since first day. Tingling face, around mouth, tingling scalp, tongue felt numb. Have been taking Benadryl since first day to stop tingling sensation. Comes back when Benadryl wears off.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Gallbladder disorder — Feeling: Good · Headache
    Free text: Gallbladder attack
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Gallbladder disorder — Feeling: Fair
    Free text: Gallbladder episode
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Gallbladder disorder, Pre-existing disease — Feeling: Good · Headache
    Free text: Gallbladder flare up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-29
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Headache
    Free text: Gallbladder getting better
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-12
    Survey response — day 21, dose 1
    MedDRA: Feeling abnormal, Gallbladder disorder, Migraine, Sleep paralysis — Feeling: Fair
    Free text: Gallbladder symptoms again. Migraine. Sleep paralysis. Brain fog.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna

Free text

Release 2 — day 0, dose 1

2021-01-22

Systemic reaction (other): Fuzzy cloudy thinking

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Tingling sensation on cheeks/ mouth

2021-01-24

Systemic reaction (other): Neck stiffness since first day. Tingling face, around mouth, tingling scalp, tongue felt numb. Have been taking Benadryl since first day to stop tingling sensation. Comes back when Benadryl wears off.

2021-01-26

Systemic reaction (other): Gallbladder attack

2021-01-27

Systemic reaction (other): Gallbladder episode

2021-01-28

Systemic reaction (other): Gallbladder flare up

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Gallbladder getting better

Release 4 — day 21, dose 1

2021-02-12

Symptoms: Gallbladder symptoms again. Migraine. Sleep paralysis. Brain fog.

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
SDFeeling abnormal ✓ ✓ ✓
SDGallbladder disorder ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDSleep paralysis ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROGallbladder disorder ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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