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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

  1. 2021-03-24
    Registered in v-safe
  2. 2021-03-24
    Dose 1 — Moderna
  3. 2021-03-24
    Survey response — day 0, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: Muscle ache at shot location
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Myalgia — Feeling: Good
    Free 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
  5. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-31
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-07
    Survey response — day 14, dose 1
    MedDRA: Dyspnoea — Feeling: Fair
    Free text: Slight difficulty breathing - may be continued symptoms of Covid from November of 2020
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-21
    Dose 2 — Moderna
  14. 2021-04-28
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache · Be unable to work
    Adult check-in
  15. 2021-05-05
    Survey response — day 14, dose 2
    MedDRA: Aphasia, COVID-19, Memory impairment — Feeling: Good
    Free 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
  16. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-21
    Survey response — 3 months, dose 2
    MedDRA: Asthenia, Brain fog, Chest discomfort, Fatigue — Feeling: Fair
    Free 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
  21. 2021-10-22
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  22. 2022-04-21
    Survey response — 12 months, dose 2
    MedDRA: Brain fog, Fatigue, Memory impairment, Tremor — Feeling: Fair
    Free text: Brain fog, easy exhaustion, shaking hands, forgetfulness
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-21Moderna

Free text

Release 6 — day 0, dose 1

2021-03-24

Systemic reaction (other): Muscle ache at shot location

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Muscle ache at injection site. Worse than 24 hrs ago, but still minor.

Release 7 — day 14, dose 1

2021-04-07

Symptoms: Slight difficulty breathing - may be continued symptoms of Covid from November of 2020

Release 8 — day 14, dose 2

2021-05-05

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

2021-07-21

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

2022-04-21

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

FieldPreferred term2021-092023-042024-11
SDAphasia ✓ ✓ ✓
SDAsthenia · · ✓
SDBrain fog · · ✓
SDChest discomfort · · ✓
SDCOVID-19 ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue · · ✓
SDMemory impairment ✓ ✓ ✓
SDTremor · · ✓
SROInjection site pain ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓

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