XWT-28800-79236
2 vaccinations
12 coded responses
17 check-ins
12 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 765 / TX
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-04-09
Registered in v-safe
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2021-04-09
Dose 1 — Moderna
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2021-04-09
Survey response — 0 day, dose 1MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Intranasal hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Head discomfort, Hypoaesthesia — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Intranasal hypoaesthesia — Feeling: Good · ChillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-04-16
Survey response — 7 day, dose 1MedDRA: Chest discomfort — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-25
Survey response — 14 day, dose 1MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-30
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2021-05-06
Dose 2 — Moderna
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2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Upper-airway cough syndrome — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Chills, Joint painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Abdominal painAdult check-in
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2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Flatulence — Feeling: Poor · Site: Pain · Chills, Headache, Nausea, Diarrhea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-14
Survey response — 7 day, dose 2MedDRA: Brain fog — Feeling: Poor · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-20
- 2021-06-03
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2022-05-06
Survey response — 12 month, dose 2MedDRA: Brain fog, Upper respiratory tract infection — Feeling: PoorMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-06 | Moderna |
Free text
Release 7
Systemic reaction (other): Tingling in my nose and forehead
Systemic reaction (other): Numbness/tingling in my nose and top of my head
Systemic reaction (other): Tingling and numbness in my nose area
Systemic reaction (other): Pressure on the back of my head and the front. Numbness in my nose.
Systemic reaction (other): Numbness in nose
Systemic reaction (other): Chest tightness
Symptoms: Migraine
Release 8
Systemic reaction (other): Nasal drip
Systemic reaction (other): Dropping nose
Systemic reaction (other): Extreme gas in my chest, thought I was having a heart attack
Systemic reaction (other): Fogginess (the same feeling I get after I take a Benadryl)
Release 11
Symptoms: Memory fog, Upper respiratory infection
Free-text releases are not linked to a specific 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 | Brain fog | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Intranasal hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release