4YD-17431-12845
5 vaccinations
7 coded responses
69 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 958 / CA
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-18
Dose 1 — Moderna
-
2021-04-19
Registered in v-safe
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2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My normal is 96.8, so 99 is 2.2° up for meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-05-02
- 2021-05-09
- 2021-05-16
-
2021-05-17
Dose 2 — Moderna
- 2021-05-17
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2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My eyeballs hurtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Ageusia — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I forgot to mention yesterday that my sense of taste was impacted. It's better but not totally back today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have chronic daily headache and fibro, so my headache, general pain and fatigue probably aren't related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Fibromyalgia — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Those are fibro symptoms, almost certainlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
- 2021-05-23
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-06-14
- 2021-06-21
- 2021-06-28
- 2021-08-16
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2021-11-15
Survey response — 6 months, dose 2MedDRA: Ageusia, Pyrexia, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Vomiting, then fever and loss of taste. Birth resolved within a week.MedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Dose 3 — Moderna
- 2021-11-22
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
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2022-01-03
Survey response — day 42, dose 3MedDRA: Nasal congestion, Nasopharyngitis, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold symptoms: stuffy nose, achyMedDRA releases: 2024-11 · check-in free text available
- 2022-02-21
-
2022-04-19
Dose 4 — Moderna
-
2022-04-19
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-07-19
- 2022-10-18
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2022-12-19
Dose 5 — Moderna
-
2022-12-19
Health check-in — day 0, dose 5Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2022-12-20
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-12-21
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-12-22
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-12-23
- 2022-12-24
- 2022-12-25
- 2022-12-26
- 2023-01-02
- 2023-01-09
- 2023-01-16
- 2023-01-23
- 2023-01-30
- 2023-03-20
- 2023-06-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-18 | Moderna | |
| 2 | 2021-05-17 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
| 5 | 2022-12-19 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): My normal is 96.8, so 99 is 2.2° up for me
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): My eyeballs hurt
Systemic reaction (other): I forgot to mention yesterday that my sense of taste was impacted. It's better but not totally back today.
Systemic reaction (other): I have chronic daily headache and fibro, so my headache, general pain and fatigue probably aren't related to the vaccine.
Systemic reaction (other): Those are fibro symptoms, almost certainly
Release 10 — 6 months, dose 2
Symptoms: Vomiting, then fever and loss of taste. Birth resolved within a week.
Release 10 — day 42, dose 3
Symptoms: Cold symptoms: stuffy nose, achy
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 | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Ageusia | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release