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4AK-10989-30883

2 vaccinations 10 coded responses 22 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
16-20
ZIP prefix
956 / CA
Registered
2021-02-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Dose 1 — Moderna
  2. 2021-02-11
    Registered in v-safe
  3. 2021-02-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: i had a concussion recently so idk that is causing some of my issues i also didn't eat or drink water till 6pm today so...
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Headache
    Free text: feeling way better yesterday was kinda bad
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Good · Headache
    Free text: back to normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Nausea — Feeling: Fair · Headache, Nausea
    Free text: feeling worse today has nausea all morning and headache is normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Good · Headache
    Free text: feeling great only headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscle spasms — Feeling: Good · Headache, Fatigue or tiredness, Abdominal pain
    Free text: bad cramps, but i'm not on my period??
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-17
    Survey response — day 7, dose 1
    MedDRA: No adverse event — Feeling: Good · Headache
    Free text: feeling good :)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-10
    Dose 2 — Moderna
  13. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  15. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  17. 2021-03-17
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  18. 2021-03-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-31
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-04-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-21
    Survey response — day 42, dose 2
    MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: I had a pretty severe head cold for like 5ish days, which is much longer and more intense than usual. It was weird
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-09
    Survey response — 6 months, dose 2
    MedDRA: Depression, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: more frequent depressive episodes :(
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-03-10
    Survey response — 12 months, dose 2
    MedDRA: Immune system disorder, Pre-existing disease, Urticaria — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Chronic Urticaria worsened, immune system weakened
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-10Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): i had a concussion recently so idk that is causing some of my issues i also didn't eat or drink water till 6pm today so...

2021-02-12

Systemic reaction (other): feeling way better yesterday was kinda bad

2021-02-13

Systemic reaction (other): back to normal

2021-02-14

Systemic reaction (other): feeling worse today has nausea all morning and headache is normal

2021-02-15

Systemic reaction (other): feeling great only headache

2021-02-16

Systemic reaction (other): bad cramps, but i'm not on my period??

Release 4 — day 7, dose 1

2021-02-17

Systemic reaction (other): feeling good :)

Release 7 — day 42, dose 2

2021-04-21

Symptoms: I had a pretty severe head cold for like 5ish days, which is much longer and more intense than usual. It was weird

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: more frequent depressive episodes :(

Release 11 — 12 months, dose 2

2022-03-10

Symptoms: Chronic Urticaria worsened, immune system weakened

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

FieldPreferred term2021-092023-042024-11
SDDepression · · ✓
SDImmune system disorder · · ✓
SDNasopharyngitis ✓ ✓ ✓
SDPre-existing disease · · ✓
SDUrticaria · · ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release