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6QA-22243-26836

2 vaccinations 9 coded responses 16 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
913 / CA
Registered
2021-03-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-24
    Registered in v-safe
  2. 2021-03-24
    Dose 1 — Moderna
  3. 2021-03-24
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  4. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches
    Adult check-in
  6. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea
    Adult check-in
  7. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  9. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Good
    Free text: I do notice brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-31
    Survey response — day 7, dose 1
    MedDRA: Parosmia — Feeling: Good
    Free text: I have noticed increased sense of smell
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-07
    Survey response — day 14, dose 1
    MedDRA: Feeling abnormal, Taste disorder — Feeling: Good
    Free text: Brain fogIncreased sense of taste
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-17
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Brain fog, Myalgia, Taste disorder — Feeling: Good
    Free text: Joint and muscle achesContinued intensified sense of taste, not unpleasant, just startlingContinued brain fog, worrysome
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-22
    Survey response — day 28, dose 1
    MedDRA: Arthralgia, Feeling abnormal, Myalgia, Pre-existing disease — Feeling: Fair
    Free text: Brain fog and muscle/ joint painI feel like we have the same PTSD symptoms we had in 2018 after we lost our home and neighborhood in the Wolsey fire in MalibuWill second shot make this worse?Supposed to get it tomorrow Friday, delayed because o
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-23
    Dose 2 — Moderna
  15. 2021-05-02
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-05-07
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Brain fog, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Continued muscle and joint pain, brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-18
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Brain fog, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Muscle and joint pain persists, as well as brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-06
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Brain fog, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Continued joint and muscle pain, and brainfog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2022-04-25
    Survey response — 12 months, dose 2
    MedDRA: Aphasia, Memory impairment — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I continue to have worsening memory and speech problems
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-23Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): I do notice brain fog

Release 6 — day 7, dose 1

2021-03-31

Systemic reaction (other): I have noticed increased sense of smell

Release 7 — day 14, dose 1

2021-04-07

Symptoms: Brain fogIncreased sense of taste

Release 7 — day 21, dose 1

2021-04-17

Symptoms: Joint and muscle achesContinued intensified sense of taste, not unpleasant, just startlingContinued brain fog, worrysome

Release 7 — day 28, dose 1

2021-04-22

Symptoms: Brain fog and muscle/ joint painI feel like we have the same PTSD symptoms we had in 2018 after we lost our home and neighborhood in the Wolsey fire in MalibuWill second shot make this worse?Supposed to get it tomorrow Friday, delayed because o

Release 8 — day 14, dose 2

2021-05-07

Symptoms: Continued muscle and joint pain, brain fog

Release 8 — day 21, dose 2

2021-05-18

Symptoms: Muscle and joint pain persists, as well as brain fog

Release 8 — day 42, dose 2

2021-06-06

Symptoms: Continued joint and muscle pain, and brainfog

Release 11 — 12 months, dose 2

2022-04-25

Symptoms: I continue to have worsening memory and speech problems

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
SDAphasia · · ✓
SDArthralgia ✓ ✓ ✓
SDBrain fog ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDMemory impairment · · ✓
SDMyalgia ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDTaste disorder ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROParosmia ✓ ✓ ✓

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