4NP-32773-74959
2 vaccinations
8 coded responses
18 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 850 / AZ
- Registered
- 2021-04-29
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-29
Registered in v-safe
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2021-04-29
Dose 1 — Moderna
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2021-04-29
Survey response — day 0, dose 1MedDRA: Brain fog, Dizziness postural, Feeling abnormal, Immediate post-injection reaction, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness · Be unable to workFree text: Lightheaded specially when standing up, a few seconds after vaccination I felt weird waited 30 mins. They checked blood pressure it was normal after almost 30 mins it went down but still on normal range, slight tingling sensation and left side of my head. A few minutes after the vaccine I had some brain fog.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — days 1–6 daily, dose 1MedDRA: Brain fog — Feeling: Fair · Site: Pain · Chills, Headache · Be unable to workFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — days 1–6 daily, dose 1MedDRA: Brain fog, Paraesthesia — Feeling: Fair · Site: Pain · Headache · Be unable to workFree text: Brain fog, pins and needles on my right side of my head. It comes and goes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
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2021-05-03
Survey response — days 1–6 daily, dose 1MedDRA: Brain fog, Memory impairment — Feeling: Fair · HeadacheFree text: Brain fog that come and goes and short term memory issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Feeling abnormal, Memory impairment — Feeling: Fair · HeadacheFree text: Brain fog, lightheaded around noon,forgetfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — days 1–6 daily, dose 1MedDRA: Memory impairment, Paraesthesia — Feeling: Fair · HeadacheFree text: Short term memory issues, pins and needles in my head.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-13
- 2021-05-22
- 2021-05-28
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2021-06-01
Dose 2 — Moderna
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2021-06-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-06-04
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to workFree text: Elevated heart rate since the vaccination but leveling outMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
- 2021-06-24
- 2021-07-15
- 2021-08-31
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2021-12-02
Survey response — 6 months, dose 2MedDRA: Blood immunoglobulin E increased, Skin exfoliation — Feeling: FairFree text: Allergy - IGE level is high and and developed scaly patch in my knee and nose area. Got tested for psoriasis by its negative.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-29 | Moderna | |
| 2 | 2021-06-01 | Moderna |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Lightheaded specially when standing up, a few seconds after vaccination I felt weird waited 30 mins. They checked blood pressure it was normal after almost 30 mins it went down but still on normal range, slight tingling sensation and left side of my head. A few minutes after the vaccine I had some brain fog.
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Brain fog
Systemic reaction (other): Brain fog, pins and needles on my right side of my head. It comes and goes.
Systemic reaction (other): Brain fog that come and goes and short term memory issues.
Systemic reaction (other): Brain fog, lightheaded around noon,forgetful
Systemic reaction (other): Short term memory issues, pins and needles in my head.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Elevated heart rate since the vaccination but leveling out
Release 10 — 6 months, dose 2
Symptoms: Allergy - IGE level is high and and developed scaly patch in my knee and nose area. Got tested for psoriasis by its negative.
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 | Blood immunoglobulin E increased | · | · | ✓ |
| SD | Skin exfoliation | · | · | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dizziness postural | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release