44W-21275-31828
1 vaccination
5 coded responses
8 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 750 / TX
- Registered
- 2020-12-31
- Relationship
- Self
Timeline
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2020-12-31
Registered in v-safe
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2020-12-31
Dose 1 — Moderna
- 2020-12-31
- 2021-01-01
- 2021-01-02
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: GoodFree text: Missed check in yesterday - had a slight headache yesterday. None today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: GoodFree text: My heart rate has increased (according to my Apple Watch) by about 10 beats per minute on average.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: GoodFree text: Still higher than normal heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Survey response — day 7, dose 1MedDRA: Heart rate increased — Feeling: GoodFree text: Heart rate still elevated but better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — day 21, dose 1MedDRA: Abdominal mass, Specialist consultation — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Developed a mass on lower left abdomen. It began 3 days after vaccine. Sought medical advice after a week. Not sure what caused it and am currently under care of pcp. · Healthcare visit (other): PcpMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Missed check in yesterday - had a slight headache yesterday. None today.
Systemic reaction (other): My heart rate has increased (according to my Apple Watch) by about 10 beats per minute on average.
Systemic reaction (other): Still higher than normal heart rate
Release 1 — day 7, dose 1
Systemic reaction (other): Heart rate still elevated but better.
Release 2 — day 21, dose 1
Symptoms: Developed a mass on lower left abdomen. It began 3 days after vaccine. Sought medical advice after a week. Not sure what caused it and am currently under care of pcp.
Healthcare visit (other): Pcp
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 | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Abdominal mass | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release