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6A2-12398-43526

3 vaccinations 7 coded responses 14 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
945 / CA
Registered
2022-01-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Dose 1 — Moderna
  2. 2021-04-07
    Dose 2 — Moderna
  3. 2022-01-06
    Dose 3 — Moderna
  4. 2022-01-07
    Registered in v-safe
  5. 2022-01-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dehydration — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: I feel super dehydrated, even with lots of juice, water and bone broth.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-01-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dehydration, Dry eye, Dry mouth, Dry skin — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free text: I still feel REALLY dehydrated, and can't explain why. My eyes even feel extremely dry. Along with cotton mouth, dry skin and an overall feeling of dehydration.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-01-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Fever
    Free text: Just swollen lymph nodes in my left arm pit.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-01-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2022-01-13
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2022-01-20
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  12. 2022-01-27
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  13. 2022-02-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-02-12
    Survey response — day 35, dose 3
    MedDRA: Brain fog, Feeling cold — Feeling: Good
    Free text: I'm noticing a lot of brain fog, and the inability to get warm.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-02-17
    Survey response — day 42, dose 3
    MedDRA: Dyspnoea, Fatigue, Feeling cold, Temperature regulation disorder — Feeling: Good
    Free text: I get Really winded and tired, really easily. As well as the continued ability to regulate my body temperature. It's 74 degrees outside, sitting in the sun, I'm still freezing.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-04-09
    Survey response — 3 months, dose 3
    MedDRA: Dyspnoea — Feeling: Good
    Free text: Labored breath
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-07-07
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  18. 2023-01-08
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna No
22021-04-07Moderna No
32022-01-06Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2022-01-07

Systemic reaction (other): Cough

2022-01-08

Systemic reaction (other): I feel super dehydrated, even with lots of juice, water and bone broth.

2022-01-09

Systemic reaction (other): I still feel REALLY dehydrated, and can't explain why. My eyes even feel extremely dry. Along with cotton mouth, dry skin and an overall feeling of dehydration.

2022-01-10

Systemic reaction (other): Just swollen lymph nodes in my left arm pit.

Release 11 — day 35, dose 3

2022-02-12

Symptoms: I'm noticing a lot of brain fog, and the inability to get warm.

Release 11 — day 42, dose 3

2022-02-17

Symptoms: I get Really winded and tired, really easily. As well as the continued ability to regulate my body temperature. It's 74 degrees outside, sitting in the sun, I'm still freezing.

Release 11 — 3 months, dose 3

2022-04-09

Symptoms: Labored breath

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
SDBrain fog · · ✓
SDDyspnoea · · ✓
SDFatigue · · ✓
SDFeeling cold · · ✓
SDTemperature regulation disorder · · ✓
SROCough · · ✓
SRODehydration · · ✓
SRODry eye · · ✓
SRODry mouth · · ✓
SRODry skin · · ✓
SROLymphadenopathy · · ✓

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