6HE-12745-50676
3 vaccinations
1 coded response
18 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 325 / FL
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Moderna
-
2021-04-02
Registered in v-safe
- 2021-04-03
-
2021-04-11
Dose 2 — Moderna
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-17
- 2021-04-19
- 2021-04-25
- 2021-05-03
- 2021-05-09
- 2021-05-16
- 2021-05-25
- 2021-07-13
-
2021-10-11
Survey response — 6 months, dose 2MedDRA: Brain fog, Disturbance in attention, Tonsillitis, Unevaluable event, Weight decreased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have had a lot of fogginess and not able to focus lately. Had to go on antibiotics for tonsillitis and sinus. Also lost 10 pounds.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-11
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-15
-
2022-04-28
Dose 3 — Moderna
-
2022-04-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-30
- 2022-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-11 | Moderna | |
| 3 | 2022-04-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-11 | Unsuccessful |
Free text
Release 10 — 6 months, dose 2
Symptoms: I have had a lot of fogginess and not able to focus lately. Had to go on antibiotics for tonsillitis and sinus. Also lost 10 pounds.
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 | Disturbance in attention | · | · | ✓ |
| SD | Tonsillitis | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Weight decreased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release