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
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2021-02-10
Dose 1 — Moderna
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2021-02-11
Registered in v-safe
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2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painFree 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
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · HeadacheFree text: feeling way better yesterday was kinda badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · HeadacheFree text: back to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Nausea — Feeling: Fair · Headache, NauseaFree text: feeling worse today has nausea all morning and headache is normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: feeling great only headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms — Feeling: Good · Headache, Fatigue or tiredness, Abdominal painFree text: bad cramps, but i'm not on my period??MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: Good · HeadacheFree text: feeling good :)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
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2021-03-10
Dose 2 — Moderna
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2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-14
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2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-17
- 2021-03-25
- 2021-03-31
- 2021-04-07
- 2021-04-14
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2021-04-21
Survey response — day 42, dose 2MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: I had a pretty severe head cold for like 5ish days, which is much longer and more intense than usual. It was weirdMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
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2021-09-09
Survey response — 6 months, dose 2MedDRA: Depression, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: more frequent depressive episodes :(MedDRA releases: 2024-11 · check-in free text available
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2022-03-10
Survey response — 12 months, dose 2MedDRA: Immune system disorder, Pre-existing disease, Urticaria — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Chronic Urticaria worsened, immune system weakenedMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
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...
Systemic reaction (other): feeling way better yesterday was kinda bad
Systemic reaction (other): back to normal
Systemic reaction (other): feeling worse today has nausea all morning and headache is normal
Systemic reaction (other): feeling great only headache
Systemic reaction (other): bad cramps, but i'm not on my period??
Release 4 — day 7, dose 1
Systemic reaction (other): feeling good :)
Release 7 — day 42, dose 2
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
Symptoms: more frequent depressive episodes :(
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Depression | · | · | ✓ |
| SD | Immune system disorder | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release