6LN-15712-05706
2 vaccinations
6 coded responses
11 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 846 / UT
- Registered
- 2021-11-12
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Dose 1 — Janssen/Johnson & Johnson
-
2021-11-09
Dose 2 — Moderna
-
2021-11-12
Registered in v-safe
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2021-11-12
Survey response — days 1–6 daily, dose 2MedDRA: Disturbance in attention — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Difficulty focusing/concentrating, lack of attention to detailMedDRA releases: 2024-11 · check-in free text available
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2021-11-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-11-14
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog, Emotional disorder — Feeling: Good · Fatigue or tirednessFree text: Scattered, mentally foggy, emotionalMedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog, Disturbance in attention, Thinking abnormal — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Brain fog, lack of concentration, scatteredMedDRA releases: 2024-11 · check-in free text available
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2021-11-16
Survey response — day 7, dose 2MedDRA: Crying, Emotional disorder, Memory impairment — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend schoolFree text: Scattered. Forgetful. Unusual crying/emotional yesterday and today.MedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Survey response — day 14, dose 2MedDRA: Body temperature increased, Fatigue, Nausea, Pyrexia, Self-medication — Feeling: GoodFree text: Continued fevers (without Tylenol) between 101.2 of 99.8 for 4 days. Managed with Tylenol. I'm still easily fatigued. Nauseous with short periods of moderate exertion (i.e. taking a medium sized load of laundry up a flight of stairs)MedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
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2021-12-07
Survey response — day 28, dose 2MedDRA: Chest discomfort, Loss of personal independence in daily activities — Feeling: GoodFree text: Continued lack of cardio endurance for short, intense activity. With mild, dull chest discomfort during exertion and recovery.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
- 2021-12-21
- 2022-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Janssen/Johnson & Johnson | No |
| 2 | 2021-11-09 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Difficulty focusing/concentrating, lack of attention to detail
Systemic reaction (other): Scattered, mentally foggy, emotional
Systemic reaction (other): Brain fog, lack of concentration, scattered
Release 10 — day 7, dose 2
Systemic reaction (other): Scattered. Forgetful. Unusual crying/emotional yesterday and today.
Release 10 — day 14, dose 2
Symptoms: Continued fevers (without Tylenol) between 101.2 of 99.8 for 4 days. Managed with Tylenol. I'm still easily fatigued. Nauseous with short periods of moderate exertion (i.e. taking a medium sized load of laundry up a flight of stairs)
Release 10 — day 28, dose 2
Symptoms: Continued lack of cardio endurance for short, intense activity. With mild, dull chest discomfort during exertion and recovery.
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 | Body temperature increased | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Crying | · | · | ✓ |
| SRO | Disturbance in attention | · | · | ✓ |
| SRO | Emotional disorder | · | · | ✓ |
| SRO | Memory impairment | · | · | ✓ |
| SRO | Thinking abnormal | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release