YSF-79681-11342
4 vaccinations
14 coded responses
47 check-ins
13 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 020 / MA
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-28
Dose 1 — Moderna
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2021-04-30
Registered in v-safe
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2021-04-30
Survey response — days 1–6 daily, dose 1MedDRA: Injection site coldness — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: the area around the injection site felt cold (under the skin)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-05-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-05-04
- 2021-05-05
- 2021-05-12
- 2021-05-20
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2021-05-26
Dose 2 — Moderna
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2021-05-27
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog, Disturbance in attention — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Feeling foggy/out of it; hard to concentrateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-29
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog, Disturbance in attention, Dizziness, Feeling abnormal — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Hard to concentrate; feeling foggy/out of it; briefly dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-30
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog, Disturbance in attention — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: At times (not all day): hard to concentrate, feeling foggyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-06-01
- 2021-06-02
- 2021-06-09
- 2021-06-18
- 2021-06-24
- 2021-06-30
- 2021-07-09
- 2021-08-28
- 2021-11-29
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2021-12-08
Dose 3 — Moderna
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2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-12-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-12-14
- 2021-12-17
- 2021-12-22
- 2021-12-29
- 2022-01-08
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2022-01-13
Survey response — day 35, dose 3MedDRA: Brain fog, Cough, Fatigue, Headache, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, Sneezing, Throat irritation — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Runny nose; sneezing; nasal congestion/stuffiness; dry cough; itchy/sore throat; headache; tiredness/fatigue/feeling foggy. Symptoms vary in intensity throughout the day.MedDRA releases: 2024-11 · check-in free text available
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2022-01-23
Survey response — day 42, dose 3MedDRA: Cough, Fatigue, Feeling of body temperature change, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Residual symptoms after testing positive for COVID on Tuesday, Jan. 11th: Tiredness/fatigue; Dry cough/sore throat; Occasional headache and congestion; Occasional fever and feeling warm then chillyMedDRA releases: 2024-11 · check-in free text available
- 2022-03-13
- 2022-06-10
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2022-11-16
Dose 4 — Moderna
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2022-11-16
Survey response — day 0, dose 4MedDRA: Brain fog — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessFree text: Head feeling foggy-mild reactionMedDRA releases: 2024-11 · check-in free text available
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2022-11-17
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog, Disturbance in attention — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Head feeling foggy; difficult to concentrate. Both severe rating.MedDRA releases: 2024-11 · check-in free text available
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2022-11-18
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog, Disturbance in attention — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Head feeling foggy, difficulty concentrating; both moderate to severeMedDRA releases: 2024-11 · check-in free text available
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2022-11-19
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog, Disturbance in attention — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Head feeling foggy, concentration issues; both moderateMedDRA releases: 2024-11 · check-in free text available
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2022-11-20
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog, Disturbance in attention, Dizziness — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Head feeling foggy/concentration issues at times, occasional dizziness (each day since injection); all moderateMedDRA releases: 2024-11 · check-in free text available
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2022-11-21
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog, Disturbance in attention — Feeling: Fair · Headache, Fatigue or tirednessFree text: Head feeling foggy/concentration issues at times (comes and goes); both moderateMedDRA releases: 2024-11 · check-in free text available
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2022-11-23
Survey response — day 7, dose 4MedDRA: Adverse reaction, Brain fog, Dizziness — Feeling: Good · Headache, Fatigue or tirednessFree text: Occasional head fogginess/dizziness; mild reactions todayMedDRA releases: 2024-11 · check-in free text available
- 2022-11-30
- 2022-12-07
- 2022-12-14
- 2022-12-21
- 2022-12-29
- 2023-02-19
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2023-05-21
Survey response — 6 months, dose 4MedDRA: Fibromyalgia, Office visit, Stress — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-05-21
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2023-05-23
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2023-05-25
Callback requested for1:00PM ET
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2023-05-25
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-28 | Moderna | |
| 2 | 2021-05-26 | Moderna | |
| 3 | 2021-12-08 | Moderna | No |
| 4 | 2022-11-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-05-21 | Successful 2023-05-25 |
Completed over the phone |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): the area around the injection site felt cold (under the skin)
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling foggy/out of it; hard to concentrate
Systemic reaction (other): Hard to concentrate; feeling foggy/out of it; briefly dizzy
Systemic reaction (other): At times (not all day): hard to concentrate, feeling foggy
Release 10 — day 35, dose 3
Symptoms: Runny nose; sneezing; nasal congestion/stuffiness; dry cough; itchy/sore throat; headache; tiredness/fatigue/feeling foggy. Symptoms vary in intensity throughout the day.
Release 11 — day 42, dose 3
Symptoms: Residual symptoms after testing positive for COVID on Tuesday, Jan. 11th: Tiredness/fatigue; Dry cough/sore throat; Occasional headache and congestion; Occasional fever and feeling warm then chilly
Release 12 — day 0, dose 4
Systemic reaction (other): Head feeling foggy-mild reaction
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Head feeling foggy; difficult to concentrate. Both severe rating.
Systemic reaction (other): Head feeling foggy, difficulty concentrating; both moderate to severe
Systemic reaction (other): Head feeling foggy, concentration issues; both moderate
Systemic reaction (other): Head feeling foggy/concentration issues at times, occasional dizziness (each day since injection); all moderate
Systemic reaction (other): Head feeling foggy/concentration issues at times (comes and goes); both moderate
Release 12 — day 7, dose 4
Systemic reaction (other): Occasional head fogginess/dizziness; mild reactions today
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling of body temperature change | · | · | ✓ |
| SD | Fibromyalgia | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Stress | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site coldness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release