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6VB-36570-37711

2 vaccinations 8 coded responses 13 check-ins 8 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
953 / CA
Registered
2021-04-09
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-08
    Dose 1 — Moderna
  2. 2021-04-09
    Registered in v-safe
  3. 2021-04-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal, Memory impairment — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Foggy memory
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities
    Free text: No more brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Slight Cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Muscle twitching — Feeling: Fair
    Free text: Still feeling little tired, Arm Muscle twitching at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Fair · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Slight Cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-15
    Health check-in — day 7, dose 1
    Feeling: Good · None · Be unable to work
    Adult check-in
  10. 2021-04-22
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-04-29
    Survey response — day 21, dose 1
    MedDRA: Injection site pain, Injection site reaction, Muscle twitching, Musculoskeletal stiffness — Feeling: Fair
    Free text: My Right arm injection site is stall sore and the muscle keeps Twitching and some with stiff
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-06
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-07-08
    Survey response — 3 months, dose 1
    MedDRA: Fatigue, Insomnia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have had phases of very Fatigues for like three days then I have had phases where Cannot sleep for two days this has been for like three weeks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2022-04-08
    Dose 2 — Moderna
  15. 2022-04-08
    Survey response — 12 months, dose 1
    MedDRA: Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Stiff back when walking had to push myself to get things done
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Moderna
22022-04-08Moderna No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Foggy memory

2021-04-10

Systemic reaction (other): No more brain fog

2021-04-11

Systemic reaction (other): Slight Cough

2021-04-12

Systemic reaction (other): Still feeling little tired, Arm Muscle twitching at injection site

2021-04-13

Systemic reaction (other): Slight Cough

Release 8 — day 21, dose 1

2021-04-29

Symptoms: My Right arm injection site is stall sore and the muscle keeps Twitching and some with stiff

Release 9 — 3 months, dose 1

2021-07-08

Symptoms: I have had phases of very Fatigues for like three days then I have had phases where Cannot sleep for two days this has been for like three weeks

Release 11 — 12 months, dose 1

2022-04-08

Symptoms: Stiff back when walking had to push myself to get things done

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
SDFatigue ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site reaction · · ✓
SDInsomnia ✓ ✓ ✓
SDMuscle twitching ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROMemory impairment ✓ ✓ ✓
SROMuscle twitching ✓ ✓ ✓

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