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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

  1. 2021-01-29
    Dose 1 — Moderna
  2. 2021-02-26
    Registered in v-safe
  3. 2021-02-26
    Dose 2 — Moderna
  4. 2021-02-26
    Survey response — day 0, dose 2
    MedDRA: Hypoaesthesia, Paraesthesia, Visual impairment — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness
    Free text: Vision changes...facial numbness/tingling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches
    Adult check-in
  7. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia — Feeling: Good
    Free 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
  10. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-12
    Survey response — day 14, dose 2
    MedDRA: Abnormal dreams, Arthralgia, Myalgia, Poor quality sleep, Sleep disorder — Feeling: Good
    Free 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
  13. 2021-03-19
    Survey response — day 21, dose 2
    MedDRA: Dizziness, Hypoaesthesia, Immediate post-injection reaction, Pre-existing disease, Visual impairment — Feeling: Fair
    Free 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
  14. 2021-03-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-10
    Survey response — day 42, dose 2
    MedDRA: Fatigue, Oropharyngeal pain, Poor quality sleep — Feeling: Fair
    Free text: Sore throat, tired. Back to not sleeping well.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-08-28
    Survey response — 6 months, dose 2
    MedDRA: Brain fog, Feeling abnormal, Headache, Insomnia — Feeling: Fair
    Free 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
  18. 2022-02-26
    Survey response — 12 months, dose 2
    MedDRA: 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 activities
    Free 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

DoseDateManufacturerCo-administered
12021-01-29Moderna
22021-02-26Moderna

Free text

Release 4 — day 0, dose 2

2021-02-26

Systemic reaction (other): Vision changes...facial numbness/tingling

Release 5 — days 1–6 daily, dose 2

2021-03-03

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

2021-03-12

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

2021-03-19

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

2021-04-10

Symptoms: Sore throat, tired. Back to not sleeping well.

Release 9 — 6 months, dose 2

2021-08-28

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

2022-02-26

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

FieldPreferred term2021-092023-042024-11
SDAbnormal dreams ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDBrain fog ✓ · ✓
SDCOVID-19 · · ✓
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ · ✓
SDHeadache ✓ · ✓
SDHypoaesthesia ✓ ✓ ✓
SDImmediate post-injection reaction ✓ ✓ ✓
SDInsomnia ✓ · ✓
SDMyalgia ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPoor quality sleep ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSleep disorder ✓ ✓ ✓
SDUnevaluable event · · ✓
SDVestibular migraine · · ✓
SDVisual impairment ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROVisual impairment ✓ ✓ ✓

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