6HU-28082-13701
2 vaccinations
7 coded responses
15 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 660 / KS
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-29
Dose 1 — Moderna
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2021-02-26
Registered in v-safe
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2021-02-26
Dose 2 — Moderna
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2021-02-26
Survey response — day 0, dose 2MedDRA: Hypoaesthesia, Paraesthesia, Visual impairment — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Fatigue or tirednessFree text: Vision changes...facial numbness/tinglingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
- 2021-03-01
- 2021-03-02
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: GoodFree text: Is difficulty sleeping something to pay attention to? Its been an unusual thing for me the last several nights.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
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2021-03-12
Survey response — day 14, dose 2MedDRA: Abnormal dreams, Arthralgia, Myalgia, Poor quality sleep, Sleep disorder — Feeling: GoodFree text: Sore muscles & joints. Problems sleeping & very vivid dreams when I finally do. Waking every couple hours. (Coincidence with timing? But not typical, so am mentioning)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 21, dose 2MedDRA: Dizziness, Hypoaesthesia, Immediate post-injection reaction, Pre-existing disease, Visual impairment — Feeling: FairFree text: Right after leaving site from getting 2nd dose, I experienced vision anomalies & facial numbness.I am having the same things again + odd dizziness.Not fun.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-04
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2021-04-10
Survey response — day 42, dose 2MedDRA: Fatigue, Oropharyngeal pain, Poor quality sleep — Feeling: FairFree text: Sore throat, tired. Back to not sleeping well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-28
Survey response — 6 months, dose 2MedDRA: Brain fog, Feeling abnormal, Headache, Insomnia — Feeling: FairFree text: Fogging brain/mind. Headache a lot of the time. Sleep problems some.I dont feel like me. Difficult to explain.(there needs to be a maybe option on these questions)(Im from people who push thru when not fully feeling well)MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-26
Survey response — 12 months, dose 2MedDRA: Brain fog, COVID-19, Feeling abnormal, Unevaluable event, Vestibular migraine — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had Covid in January. Increase/change of brain fog. Wake most days with mild symptoms of vestibular migraine. Every day. Feel like I'm walking a tightropeor along edge of cliff. Change of internal thoughtsrather weird.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Vision changes...facial numbness/tingling
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Is difficulty sleeping something to pay attention to? Its been an unusual thing for me the last several nights.
Release 5 — day 14, dose 2
Symptoms: Sore muscles & joints. Problems sleeping & very vivid dreams when I finally do. Waking every couple hours. (Coincidence with timing? But not typical, so am mentioning)
Release 6 — day 21, dose 2
Symptoms: Right after leaving site from getting 2nd dose, I experienced vision anomalies & facial numbness.I am having the same things again + odd dizziness.Not fun.
Release 7 — day 42, dose 2
Symptoms: Sore throat, tired. Back to not sleeping well.
Release 9 — 6 months, dose 2
Symptoms: Fogging brain/mind. Headache a lot of the time. Sleep problems some.I dont feel like me. Difficult to explain.(there needs to be a maybe option on these questions)(Im from people who push thru when not fully feeling well)
Release 11 — 12 months, dose 2
Symptoms: Had Covid in January. Increase/change of brain fog. Wake most days with mild symptoms of vestibular migraine. Every day. Feel like I'm walking a tightropeor along edge of cliff. Change of internal thoughtsrather weird.
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 | Abnormal dreams | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Poor quality sleep | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vestibular migraine | · | · | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release