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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

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-02-11
    Registered in v-safe
  3. 2021-02-11
    Dose 2 — Moderna
  4. 2021-02-11
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-25
    Survey response — day 14, dose 2
    MedDRA: Dizziness, Fatigue, Headache, Nausea — Feeling: Fair
    Free text: Occasional mild headaches and mild light-headedness/nausea. Mild fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-05
    Survey response — day 21, dose 2
    MedDRA: Palpitations — Feeling: Fair
    Free 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
  14. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-13
    Survey response — 3 months, dose 2
    MedDRA: Office visit, Pain in extremity, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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
  18. 2021-05-13
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-08-13
    Survey response — 6 months, dose 2
    MedDRA: Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free 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
  20. 2021-08-13
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-08-19
  22. 2021-08-20
  23. 2021-11-22
    Dose 3 — Moderna
  24. 2022-02-11
    Survey response — 12 months, dose 2
    MedDRA: Office visit, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Heart Palpitations. · Healthcare visit (other): Cardiologist visit
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-02-11
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2022-02-24

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna
32021-11-22Moderna No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-25

Symptoms: Occasional mild headaches and mild light-headedness/nausea. Mild fatigue.

Release 5 — day 21, dose 2

2021-03-05

Symptoms: Have been experiencing heart palpitations on and off quite a bit on a daily basis.

Release 8 — 3 months, dose 2

2021-05-13

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

2021-08-13

Symptoms: Heart palpitations. Had to start beta blocker medication to control them. Doing fine now with the medication.

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: Heart Palpitations.
Healthcare visit (other): Cardiologist visit

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release