Z2Q-33050-26201
3 vaccinations
7 coded responses
38 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 412 / KY
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
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2021-02-04
Survey response — day 14, dose 1MedDRA: Ageusia, Anosmia, Asthenia, Chills, Dyspnoea, Pain, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Fever, chills, aches, no energy, loss of smell and taste, difficulty breathingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-18
- 2021-02-25
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2021-02-26
Dose 2 — Moderna
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2021-02-26
Survey response — day 0, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: No appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · DiarrheaAdult check-in
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
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2021-10-29
Dose 3 — Moderna
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2021-10-29
Survey response — day 0, dose 3MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Headache, NauseaFree text: Runny nose/drainageMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Paranasal sinus hypersecretion — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Massive sinus drainage/-super thin/- it's bad for 20/30 minutes then it goes away for a bit then comes back Full force again.MedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-04
- 2021-12-10
- 2022-01-28
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2022-04-29
Survey response — 6 months, dose 3MedDRA: Brain fog, COVID-19, Memory impairment, Reaction to previous exposure to any vaccine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had Covid Jan 2021. I have had both vaccines and the booster. I have notice memory problems that get a little worse after having it and the vaccines. I did not experience any foggy thought processes or memory loss before.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Free text
Release 3 — day 14, dose 1
Symptoms: Fever, chills, aches, no energy, loss of smell and taste, difficulty breathing
Release 4 — day 0, dose 2
Systemic reaction (other): No appetite
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Loss of appetite
Release 10 — day 0, dose 3
Systemic reaction (other): Runny nose/drainage
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Massive sinus drainage/-super thin/- it's bad for 20/30 minutes then it goes away for a bit then comes back Full force again.
Release 11 — 6 months, dose 3
Symptoms: I had Covid Jan 2021. I have had both vaccines and the booster. I have notice memory problems that get a little worse after having it and the vaccines. I did not experience any foggy thought processes or memory loss before.
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 | Ageusia | ✓ | ✓ | ✓ |
| SD | Anosmia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus hypersecretion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release