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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

  1. 2021-04-29
    Registered in v-safe
  2. 2021-04-29
    Dose 1 — Moderna
  3. 2021-04-29
    Survey response — day 0, dose 1
    MedDRA: Brain fog, Dizziness postural, Feeling abnormal, Immediate post-injection reaction, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness · Be unable to work
    Free 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
  4. 2021-04-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Brain fog — Feeling: Fair · Site: Pain · Chills, Headache · Be unable to work
    Free text: Brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Brain fog, Paraesthesia — Feeling: Fair · Site: Pain · Headache · Be unable to work
    Free 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
  6. 2021-05-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache
    Adult check-in
  7. 2021-05-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Brain fog, Memory impairment — Feeling: Fair · Headache
    Free 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
  8. 2021-05-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Feeling abnormal, Memory impairment — Feeling: Fair · Headache
    Free text: Brain fog, lightheaded around noon,forgetful
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Memory impairment, Paraesthesia — Feeling: Fair · Headache
    Free text: Short term memory issues, pins and needles in my head.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-06
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache
    Adult check-in
  11. 2021-05-13
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-05-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-28
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  14. 2021-06-01
    Dose 2 — Moderna
  15. 2021-06-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  16. 2021-06-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 work
    Free text: Elevated heart rate since the vaccination but leveling out
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-08
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  18. 2021-06-24
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-07-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-31
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-12-02
    Survey response — 6 months, dose 2
    MedDRA: Blood immunoglobulin E increased, Skin exfoliation — Feeling: Fair
    Free 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

DoseDateManufacturerCo-administered
12021-04-29Moderna
22021-06-01Moderna

Free text

Release 8 — day 0, dose 1

2021-04-29

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

2021-04-30

Systemic reaction (other): Brain fog

2021-05-01

Systemic reaction (other): Brain fog, pins and needles on my right side of my head. It comes and goes.

2021-05-03

Systemic reaction (other): Brain fog that come and goes and short term memory issues.

2021-05-04

Systemic reaction (other): Brain fog, lightheaded around noon,forgetful

2021-05-05

Systemic reaction (other): Short term memory issues, pins and needles in my head.

Release 8 — days 1–6 daily, dose 2

2021-06-04

Systemic reaction (other): Elevated heart rate since the vaccination but leveling out

Release 10 — 6 months, dose 2

2021-12-02

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

FieldPreferred term2021-092023-042024-11
SDBlood immunoglobulin E increased · · ✓
SDSkin exfoliation · · ✓
SROBrain fog ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODizziness postural ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROMemory impairment ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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