MRJ-33690-13286
4 vaccinations
4 coded responses
25 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 100 / NY
- Registered
- 2021-11-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Moderna
-
2021-02-08
Dose 2 — Moderna
-
2021-11-29
Dose 3 — Moderna
-
2021-11-30
Registered in v-safe
-
2021-11-30
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolFree text: FoggynessMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-12-02
- 2021-12-04
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-29
- 2022-01-04
- 2022-01-10
- 2022-02-28
- 2022-05-30
- 2022-11-29
-
2022-12-27
Dose 4 — Moderna
-
2022-12-28
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
-
2022-12-29
Survey response — days 1–6 daily, dose 4MedDRA: Malaise — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolFree text: Feel icky!MedDRA releases: 2024-11 · check-in free text available
-
2022-12-31
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Headache, Muscle or body achesAdult check-in
-
2023-01-02
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Fair · FeverMedDRA releases: 2024-11
-
2023-01-03
Survey response — day 7, dose 4MedDRA: Malaise — Feeling: Fair · Fever · Fatigue or tirednessMedDRA releases: 2024-11
- 2023-01-10
- 2023-01-17
- 2023-01-25
- 2023-01-31
- 2023-02-08
- 2023-03-29
- 2023-06-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | No |
| 2 | 2021-02-08 | Moderna | No |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-12-27 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Foggyness
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Feel icky!
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release