3DU-31350-08580
3 vaccinations
5 coded responses
16 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 601 / IL
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-02-11
Registered in v-safe
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2021-02-11
Dose 2 — Moderna
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2021-02-11
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
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2021-02-25
Survey response — day 14, dose 2MedDRA: Dizziness, Fatigue, Headache, Nausea — Feeling: FairFree text: Occasional mild headaches and mild light-headedness/nausea. Mild fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — day 21, dose 2MedDRA: Palpitations — Feeling: FairFree text: Have been experiencing heart palpitations on and off quite a bit on a daily basis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
- 2021-03-25
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2021-05-13
Survey response — 3 months, dose 2MedDRA: Office visit, Pain in extremity, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: heart palpitations and on and off soreness in upper left arm where vaccine shot was given. · Healthcare visit (other): In-office doctors visit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-13
Survey response — 6 months, dose 2MedDRA: Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Heart palpitations. Had to start beta blocker medication to control them. Doing fine now with the medication.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-13
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
- 2021-08-20
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2021-11-22
Dose 3 — Moderna
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2022-02-11
Survey response — 12 months, dose 2MedDRA: Office visit, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Heart Palpitations. · Healthcare visit (other): Cardiologist visitMedDRA releases: 2024-11 · check-in free text available
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2022-02-11
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 4 — day 14, dose 2
Symptoms: Occasional mild headaches and mild light-headedness/nausea. Mild fatigue.
Release 5 — day 21, dose 2
Symptoms: Have been experiencing heart palpitations on and off quite a bit on a daily basis.
Release 8 — 3 months, dose 2
Symptoms: heart palpitations and on and off soreness in upper left arm where vaccine shot was given.
Healthcare visit (other): In-office doctors visit.
Release 9 — 6 months, dose 2
Symptoms: Heart palpitations. Had to start beta blocker medication to control them. Doing fine now with the medication.
Release 11 — 12 months, dose 2
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release