J72-11595-72741
1 vaccination
2 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 307 / GA
- Registered
- 2021-10-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-10
Dose 1 — Moderna
-
2021-10-11
Registered in v-safe
-
2021-10-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-12
Survey response — days 1–6 daily, dose 1MedDRA: Brain fog, Irritability — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Irritability, foggyMedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
- 2021-10-14
- 2021-10-15
- 2021-10-16
- 2021-10-24
-
2022-04-10
Survey response — 6 months, dose 1MedDRA: Inflammation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Hyper inflammatory immune responseMedDRA releases: 2024-11 · check-in free text available
-
2022-04-10
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-10 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): Irritability, foggy
Release 11 — 6 months, dose 1
Symptoms: Hyper inflammatory immune response
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 | Inflammation | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release