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4EM-22484-63400

2 vaccinations 6 coded responses 13 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
064 / CT
Registered
2021-05-11
Relationship
Self
Race
Other
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-11
    Dose 1 — Moderna
  2. 2021-05-10
    Dose 2 — Moderna
  3. 2021-05-11
    Registered in v-safe
  4. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  7. 2021-05-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain, Emergency care — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Severe chest pains, went to ER
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain — Feeling: Good · Headache, Fatigue or tiredness, Nausea
    Free text: Mild chest pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-17
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  10. 2021-05-24
    Survey response — day 14, dose 2
    MedDRA: Chest pain — Feeling: Good
    Free text: Chest pains slowly reduce but then they j creased.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-31
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-16
    Survey response — day 35, dose 2
    MedDRA: Blood glucose abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Glucose levels have decreased more than usual and sometimes increases but mainly a drop.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-06-16
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-06-21
    Survey response — day 42, dose 2
    MedDRA: Atrioventricular block, Blood glucose increased, Electrocardiogram abnormal, Heart rate decreased, Heart rate irregular, Office visit — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Irregular heart beat, heart rate dropped to 38 which has never happens and new heart block readings in my EKG that my cardiologist has confirmed. Along with usual high glucose and than steep drops of glucose to become hypoglycemic.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-21
    Report sent to call center — day 42, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  17. 2021-06-23
  18. 2021-06-23
  19. 2021-11-08
    Survey response — 6 months, dose 2
    MedDRA: Atrioventricular block, Electrocardiogram abnormal, Pre-existing disease, Viral infection — Feeling: Good · Be unable to work or attend school
    Free text: Had another issue a week ago with my irregular heart on my EKG that showed another heart block, this occurred when my husband caught some virus and I got some of the lighter symptoms. But now it's ok. Doctor don't recommend booster.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-05-10
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-11Moderna
22021-05-10Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): Severe chest pains, went to ER

2021-05-15

Systemic reaction (other): Mild chest pain

Release 8 — day 14, dose 2

2021-05-24

Symptoms: Chest pains slowly reduce but then they j creased.

Release 9 — day 35, dose 2

2021-06-16

Symptoms: Glucose levels have decreased more than usual and sometimes increases but mainly a drop.

Release 9 — day 42, dose 2

2021-06-21

Symptoms: Irregular heart beat, heart rate dropped to 38 which has never happens and new heart block readings in my EKG that my cardiologist has confirmed. Along with usual high glucose and than steep drops of glucose to become hypoglycemic.

Release 10 — 6 months, dose 2

2021-11-08

Symptoms: Had another issue a week ago with my irregular heart on my EKG that showed another heart block, this occurred when my husband caught some virus and I got some of the lighter symptoms. But now it's ok. Doctor don't recommend booster.

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
SDAtrioventricular block ✓ ✓ ✓
SDBlood glucose abnormal ✓ ✓ ✓
SDBlood glucose increased ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDElectrocardiogram abnormal ✓ ✓ ✓
SDHeart rate decreased ✓ ✓ ✓
SDHeart rate irregular ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPre-existing disease · · ✓
SDViral infection · · ✓
SROChest pain ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓

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