3PD-14387-74419
4 vaccinations
4 coded responses
29 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 462 / IN
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-02-18
Registered in v-safe
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2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Elevated heart rate. Between 90-100 resting last night. Better today 80 bpm resting but I also take Bystolic 2.5 mg at night and 5 mg in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-22
- 2021-03-12
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2021-03-17
Dose 2 — Moderna
- 2021-03-17
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2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-06-16
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2021-09-10
Dose 3 — Moderna
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2021-09-15
Survey response — 6 months, dose 2MedDRA: Dyspnoea, Heart rate increased, Oxygen saturation decreased — Feeling: Good · Be unable to do your normal daily activitiesFree text: This is my first vsafe since my booster shot. The day of my shot both my friend and I had elevated heart rates and on day 3 my spo2 rate dropped to 93/94 and I was short of breath that day. That passed within 24 hours.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-17
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2022-04-16
Dose 4 — Pfizer-BioNTech
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2022-04-29
Survey response — day 7, dose 4MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · ChillsFree text: Elevated pulseMedDRA releases: 2024-11 · check-in free text available
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-07-16
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2022-10-15
Survey response — 6 months, dose 4MedDRA: Dyspnoea, Heart rate increased, Reaction to previous exposure to any vaccine, Ventricular extrasystoles — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had elevated heart rate for 2 days (happened last time) but this time had 4 PVCs night of vaccine and short of breath for 2 days.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-09-10 | Moderna | No |
| 4 | 2022-04-16 | Pfizer-BioNTech | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Elevated heart rate. Between 90-100 resting last night. Better today 80 bpm resting but I also take Bystolic 2.5 mg at night and 5 mg in the morning.
Release 9 — 6 months, dose 2
Symptoms: This is my first vsafe since my booster shot. The day of my shot both my friend and I had elevated heart rates and on day 3 my spo2 rate dropped to 93/94 and I was short of breath that day. That passed within 24 hours.
Release 11 — day 7, dose 4
Systemic reaction (other): Elevated pulse
Release 12 — 6 months, dose 4
Symptoms: Had elevated heart rate for 2 days (happened last time) but this time had 4 PVCs night of vaccine and short of breath for 2 days.
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 | Dyspnoea | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Ventricular extrasystoles | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release