4DR-60815-25486
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 615 / IL
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 1 — Moderna
- 2021-03-27
-
2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-18
-
2021-04-24
Dose 2 — Moderna
-
2021-04-24
Health check-in — day 0, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-08
- 2021-05-17
- 2021-05-22
- 2021-05-29
-
2021-07-26
Survey response — 3 months, dose 2MedDRA: Brain fog, Chest discomfort, Chest pain, Feeling abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Overall feeling of being off or in a fog. Fluttering in my chest and occasional chest pains.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-26
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-04
-
2021-10-25
Survey response — 6 months, dose 2MedDRA: Dizziness, Feeling abnormal, Head discomfort, Office visit — Feeling: Poor · Be unable to do your normal daily activitiesFree text: And overall feeling of not feeling right. I have seen multiple doctors trying to figure out what is going on including a neurologist and we cannot figure it out. I have an overall feeling of fullness in my head and dizziness everyday.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-24
Survey response — 12 months, dose 2MedDRA: Chest discomfort, Feeling abnormal, Head discomfort, Office visit — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Ongoing weird feeling in my head. Not pain. Just a feeling of "off". Like my head weighs a ton. I get a strange sensation in my chest at times as well. I haven't felt normal since June 2021. I've seen multiple drs and had multiple tests ran.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — 3 months, dose 2
Symptoms: Overall feeling of being off or in a fog. Fluttering in my chest and occasional chest pains.
Release 10 — 6 months, dose 2
Symptoms: And overall feeling of not feeling right. I have seen multiple doctors trying to figure out what is going on including a neurologist and we cannot figure it out. I have an overall feeling of fullness in my head and dizziness everyday.
Release 11 — 12 months, dose 2
Symptoms: Ongoing weird feeling in my head. Not pain. Just a feeling of "off". Like my head weighs a ton. I get a strange sensation in my chest at times as well. I haven't felt normal since June 2021. I've seen multiple drs and had multiple tests ran.
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 | Chest discomfort | ✓ | · | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Feeling abnormal | ✓ | · | ✓ |
| SD | Head discomfort | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release