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4FF-28540-53920

2 vaccinations 5 coded responses 15 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
773 / TX
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-24
    Dose 1 — Moderna
  2. 2021-03-10
    Registered in v-safe
  3. 2021-03-17
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  4. 2021-03-23
    Dose 2 — Moderna
  5. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Feeling abnormal, Pre-existing disease, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Fever · 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 tinnitus worsened. Brain fog. Very weak.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Asthenia, Fatigue, Feeling abnormal, Influenza like illness, Myalgia, Pain, Pain in extremity, Pain of skin — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Worst possible flu like yesterday: skin hurt, deep muscle pain, joint pain including g brain fog, weakness fatigue. Hurt to move arm. Less today. But experienced repeated sharp stabbing pain in toe last night. Then index finger as if a wasp was stinging me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Poor · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Exhaustion without exertion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-30
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  12. 2021-04-08
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-04-13
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Feeling abnormal, Oral disorder, Tongue disorder — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Have had some bumps inside my mouth and on my tongue. Never had before. Still tire more easily than before shots and brain fog still worse.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-21
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-04-27
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-05-04
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-09-21
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Moderna
22021-03-23Moderna

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): My tinnitus worsened. Brain fog. Very weak.

2021-03-25

Systemic reaction (other): Worst possible flu like yesterday: skin hurt, deep muscle pain, joint pain including g brain fog, weakness fatigue. Hurt to move arm. Less today. But experienced repeated sharp stabbing pain in toe last night. Then index finger as if a wasp was stinging me.

2021-03-26

Systemic reaction (other): Brain fog

2021-03-28

Systemic reaction (other): Exhaustion without exertion

Release 7 — day 21, dose 2

2021-04-13

Symptoms: Have had some bumps inside my mouth and on my tongue. Never had before. Still tire more easily than before shots and brain fog still worse.

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
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDOral disorder ✓ ✓ ✓
SDTongue disorder ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPain of skin ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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