4X9-25825-49812
2 vaccinations
6 coded responses
19 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 492 / MI
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
-
2021-03-24
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Muscle ache at shot locationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Myalgia — Feeling: GoodFree text: Muscle ache at injection site. Worse than 24 hrs ago, but still minor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
-
2021-04-07
Survey response — day 14, dose 1MedDRA: Dyspnoea — Feeling: FairFree text: Slight difficulty breathing - may be continued symptoms of Covid from November of 2020MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
-
2021-04-21
Dose 2 — Moderna
- 2021-04-28
-
2021-05-05
Survey response — day 14, dose 2MedDRA: Aphasia, COVID-19, Memory impairment — Feeling: GoodFree text: Memory problems. I'm having difficulty connecting words to meanings. May be related to having covid in November vs getting the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
-
2021-07-21
Survey response — 3 months, dose 2MedDRA: Asthenia, Brain fog, Chest discomfort, Fatigue — Feeling: FairFree text: Slight pressure while breathing, always there. It gets worse with activity such as going up/down stairs, too much talking, and heat. Brain fog. I get tired all the time, usually with no warning... Almost a wall sensation of energy going away.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-22
-
2022-04-21
Survey response — 12 months, dose 2MedDRA: Brain fog, Fatigue, Memory impairment, Tremor — Feeling: FairFree text: Brain fog, easy exhaustion, shaking hands, forgetfulnessMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Muscle ache at shot location
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle ache at injection site. Worse than 24 hrs ago, but still minor.
Release 7 — day 14, dose 1
Symptoms: Slight difficulty breathing - may be continued symptoms of Covid from November of 2020
Release 8 — day 14, dose 2
Symptoms: Memory problems. I'm having difficulty connecting words to meanings. May be related to having covid in November vs getting the vaccine.
Release 9 — 3 months, dose 2
Symptoms: Slight pressure while breathing, always there. It gets worse with activity such as going up/down stairs, too much talking, and heat. Brain fog. I get tired all the time, usually with no warning... Almost a wall sensation of energy going away.
Release 11 — 12 months, dose 2
Symptoms: Brain fog, easy exhaustion, shaking hands, forgetfulness
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 | Aphasia | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Tremor | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release