68R-20192-79299
2 vaccinations
10 coded responses
20 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 982 / WA
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
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2021-01-06
Dose 1 — Moderna
- 2021-01-06
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Disturbance in attention, Dizziness, Neck pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Dizziness, unable to focus, upper neck and shoulder painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
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2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, NauseaAdult check-in
- 2021-01-09
- 2021-01-13
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2021-01-20
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling, Pain in extremity, Peripheral swelling, Skin warm, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: On Wednesday evening (1/13/2021), I noticed my left arm at the injection site was a little red and swollen about the size of a tennis ball, by Monday my whole upper arm was pretty swollen, warm to the touch & extremely painful. · Healthcare visit (other): I also asked the doctor I work forMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-03
Dose 2 — Moderna
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2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Cold sweat, Feeling abnormal, Syncope — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: I still have fog brain from the first injection. And feel like Im going to faint. I have cold sweats cant get warm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: I feel like Im dying!!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Headache, DiarrheaAdult check-in
- 2021-02-08
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2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · HeadacheAdult check-in
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2021-02-10
Survey response — day 7, dose 2MedDRA: Disturbance in attention, Feeling abnormal — Feeling: Good · Site: Itching · Headache, Fatigue or tirednessFree text: I feel like my brain is foggy. Hard to concentrate and focusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — day 14, dose 2MedDRA: Feeling abnormal, Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: I feel super foggy brain. My short term memory seems to be gone. I still have a lingering headache since the second vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
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2021-03-03
Survey response — day 28, dose 2MedDRA: Amnesia, Disturbance in attention, Fatigue, Feeling abnormal, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I feel worn down. Achy body. I still feel fuzzy headed. Hard to focus still. Short term memory loss as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-04-27
- 2021-05-05
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2021-05-07
Survey response — 3 months, dose 2MedDRA: Arthralgia, Brain fog, Injection site pain, Menstruation delayed — Feeling: FairFree text: The arm I got the injection site is still pretty sore. And my joints ache. I still have brain fog. Also I have missed my period and its been consistently getting later and later.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
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2021-08-06
Survey response — 6 months, dose 2MedDRA: Amnesia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Loss of memory.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-03
Survey response — 12 months, dose 2MedDRA: Ageusia — Feeling: Fair · Be unable to work or attend schoolFree text: Lost my sense of taste for 24hrs tested rapid and PCR both negativeMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
2 call center cases
1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness, unable to focus, upper neck and shoulder pain
Release 2 — day 14, dose 1
Symptoms: On Wednesday evening (1/13/2021), I noticed my left arm at the injection site was a little red and swollen about the size of a tennis ball, by Monday my whole upper arm was pretty swollen, warm to the touch & extremely painful.
Healthcare visit (other): I also asked the doctor I work for
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I still have fog brain from the first injection. And feel like Im going to faint. I have cold sweats cant get warm.
Systemic reaction (other): I feel like Im dying!!!
Release 4 — day 7, dose 2
Systemic reaction (other): I feel like my brain is foggy. Hard to concentrate and focus
Release 4 — day 14, dose 2
Symptoms: I feel super foggy brain. My short term memory seems to be gone. I still have a lingering headache since the second vaccine.
Release 5 — day 28, dose 2
Symptoms: I feel worn down. Achy body. I still feel fuzzy headed. Hard to focus still. Short term memory loss as well.
Release 8 — 3 months, dose 2
Symptoms: The arm I got the injection site is still pretty sore. And my joints ache. I still have brain fog. Also I have missed my period and its been consistently getting later and later.
Release 9 — 6 months, dose 2
Symptoms: Loss of memory.
Release 11 — 12 months, dose 2
Symptoms: Lost my sense of taste for 24hrs tested rapid and PCR both 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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Amnesia | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Disturbance in attention | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Menstruation delayed | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release