229-22208-41615
1 vaccination
3 coded responses
9 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 721 / AR
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Moderna
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2021-02-25
Registered in v-safe
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2021-02-25
Survey response — days 1–6 daily, dose 1MedDRA: Emergency care, Heart rate decreased, Immediate post-injection reaction, Palpitations, Ventricular extrasystoles — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Seconds After my second shot yesterday heart racing. Wound up in ER. In PVCs. Pulse down as low as 34. ER DR TOLD ME TO NOTIFY YOU IMMEDIATELY. as of this morning pulse stable. Sent email not able to change date of first dose on my vsafe. I placed second date there.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Influenza — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to workFree text: Felt like I have the flu all day. Very tired. Hard to get up and go into work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Redness, Swelling · Joint pains, Fatigue or tirednessFree text: This is my second vaccination. Dont know how to fix the datesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-03
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-10
- 2021-03-19
- 2021-08-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Seconds After my second shot yesterday heart racing. Wound up in ER. In PVCs. Pulse down as low as 34. ER DR TOLD ME TO NOTIFY YOU IMMEDIATELY. as of this morning pulse stable. Sent email not able to change date of first dose on my vsafe. I placed second date there.
Systemic reaction (other): Felt like I have the flu all day. Very tired. Hard to get up and go into work.
Systemic reaction (other): This is my second vaccination. Dont know how to fix the dates
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 |
|---|---|---|---|---|
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Heart rate decreased | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Influenza | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Ventricular extrasystoles | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release