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
-
2021-03-05
Dose 1 — Moderna
-
2021-04-07
Dose 2 — Moderna
-
2022-01-06
Dose 3 — Moderna
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2022-01-07
Registered in v-safe
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2022-01-07
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: CoughMedDRA releases: 2024-11 · check-in free text available
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2022-01-08
Survey response — days 1–6 daily, dose 3MedDRA: 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 activitiesFree text: I feel super dehydrated, even with lots of juice, water and bone broth.MedDRA releases: 2024-11 · check-in free text available
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2022-01-09
Survey response — days 1–6 daily, dose 3MedDRA: Dehydration, Dry eye, Dry mouth, Dry skin — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree 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
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2022-01-10
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · FeverFree text: Just swollen lymph nodes in my left arm pit.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-11
- 2022-01-13
- 2022-01-20
- 2022-01-27
- 2022-02-03
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2022-02-12
Survey response — day 35, dose 3MedDRA: Brain fog, Feeling cold — Feeling: GoodFree text: I'm noticing a lot of brain fog, and the inability to get warm.MedDRA releases: 2024-11 · check-in free text available
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2022-02-17
Survey response — day 42, dose 3MedDRA: Dyspnoea, Fatigue, Feeling cold, Temperature regulation disorder — Feeling: GoodFree 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
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2022-04-09
Survey response — 3 months, dose 3MedDRA: Dyspnoea — Feeling: GoodFree text: Labored breathMedDRA releases: 2024-11 · check-in free text available
- 2022-07-07
- 2023-01-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | No |
| 2 | 2021-04-07 | Moderna | No |
| 3 | 2022-01-06 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cough
Systemic reaction (other): I feel super dehydrated, even with lots of juice, water and bone broth.
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.
Systemic reaction (other): Just swollen lymph nodes in my left arm pit.
Release 11 — day 35, dose 3
Symptoms: I'm noticing a lot of brain fog, and the inability to get warm.
Release 11 — day 42, dose 3
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Brain fog | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Temperature regulation disorder | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dehydration | · | · | ✓ |
| SRO | Dry eye | · | · | ✓ |
| SRO | Dry mouth | · | · | ✓ |
| SRO | Dry skin | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release