4MZ-23486-14472
2 vaccinations
9 coded responses
24 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 074 / NJ
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: I had Covid back in March. Lasted 6 weeks until I felt normal again. Could this be why I feel poorly after the shot?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
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2021-02-09
Survey response — day 14, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: FairFree text: started losing my hair again. I had the virus back in March 2020 for 6 weeks, after which my hair started falling out. that symptom stopped in Aug. It just started again after the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-23
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2021-02-24
Dose 2 — Moderna
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Cough, Headache, Myalgia, Pain in extremity, Pyrexia — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: very sick for 1st 24 hrs after shot, fever chills headache cough pain in arm joint and muscle ache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Alopecia, COVID-19, Immediate post-injection reaction — Feeling: Good · Muscle or body achesFree text: my hair started falling out after 1st shot and is still falling out. this happened after I had covid in march stopped during the summerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
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2021-03-05
Survey response — day 7, dose 2MedDRA: Headache — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: having headaches not sure if from the shot, but have had more intense headaches since the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
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2021-03-18
Survey response — day 21, dose 2MedDRA: Alopecia, Fatigue, Headache — Feeling: FairFree text: Have headaches daily and my hair. Continues to fall out. Very tired since the shotsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
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2021-04-07
Survey response — day 42, dose 2MedDRA: Alopecia — Feeling: GoodFree text: Hair still falling outMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — 3 months, dose 2MedDRA: Alopecia, Fatigue — Feeling: GoodFree text: hair is still falling out. still have periods of tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-25
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2022-02-24
Survey response — 12 months, dose 2MedDRA: Ageusia, Alopecia, Anosmia, Fatigue — Feeling: FairFree text: still tired. smell and taste still not 100%. hair still falling out.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I had Covid back in March. Lasted 6 weeks until I felt normal again. Could this be why I feel poorly after the shot?
Release 3 — day 14, dose 1
Symptoms: started losing my hair again. I had the virus back in March 2020 for 6 weeks, after which my hair started falling out. that symptom stopped in Aug. It just started again after the shot.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): very sick for 1st 24 hrs after shot, fever chills headache cough pain in arm joint and muscle ache.
Systemic reaction (other): my hair started falling out after 1st shot and is still falling out. this happened after I had covid in march stopped during the summer
Release 5 — day 7, dose 2
Systemic reaction (other): having headaches not sure if from the shot, but have had more intense headaches since the shot
Release 5 — day 21, dose 2
Symptoms: Have headaches daily and my hair. Continues to fall out. Very tired since the shots
Release 7 — day 42, dose 2
Symptoms: Hair still falling out
Release 8 — 3 months, dose 2
Symptoms: hair is still falling out. still have periods of tiredness
Release 11 — 12 months, dose 2
Symptoms: still tired. smell and taste still not 100%. hair still falling out.
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 | Ageusia | · | · | ✓ |
| SD | Alopecia | ✓ | ✓ | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Alopecia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ○ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release