T9Q-25299-91855
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 672 / KS
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-30
- 2021-02-06
- 2021-02-13
-
2021-02-19
Dose 2 — Moderna
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: Previous said Im pregnant. I am not. Its an errorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-04
Survey response — day 42, dose 2MedDRA: Headache — Feeling: GoodFree text: More Frequent headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
-
2021-08-22
Survey response — 6 months, dose 2MedDRA: Depression — Feeling: GoodFree text: Severe depressionMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-02-19
Survey response — 12 months, dose 2MedDRA: Fatigue, Tinnitus — Feeling: GoodFree text: Tinnitus, fatigueMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Previous said Im pregnant. I am not. Its an error
Release 6 — day 42, dose 2
Symptoms: More Frequent headaches
Release 9 — 6 months, dose 2
Symptoms: Severe depression
Release 11 — 12 months, dose 2
Symptoms: Tinnitus, fatigue
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 | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Pregnancy | ○ | · | ○ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release