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4LN-28148-68726

2 vaccinations 1 coded response 5 check-ins 1 free-text entry 0 call cases
Sex
—
Age at first dose
31-35
ZIP prefix
349 / FL
Registered
2021-02-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Dose 1 — Moderna
  2. 2021-02-05
    Registered in v-safe
  3. 2021-08-14
    Dose 2 — Moderna
  4. 2021-08-14
    Health check-in — day 0, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-08-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Palpitations — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Racing heart
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2021-08-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  8. 2021-09-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna No
22021-08-14Moderna No

Free text

Release 9 — days 1–6 daily, dose 2

2021-08-15

Systemic reaction (other): Racing heart

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
SROPalpitations ✓ · ✓

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