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4Q9-12959-56485

3 vaccinations 11 coded responses 32 check-ins 11 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
430 / OH
Registered
2021-02-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-19
    Dose 1 — Moderna
  2. 2021-02-21
    Registered in v-safe
  3. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Abdominal pain
    Adult check-in
  4. 2021-02-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspepsia — Feeling: Fair
    Free text: Indigestion again
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Abdominal pain
    Adult check-in
  6. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-18
    Dose 2 — Moderna
  11. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to work
    Adult check-in
  12. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal pain
    Adult check-in
  13. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Itching · Fatigue or tiredness
    Adult check-in
  14. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fatigue or tiredness
    Adult check-in
  15. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  16. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  17. 2021-03-25
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-17
    Survey response — 3 months, dose 2
    MedDRA: Heart rate increased — Feeling: Fair
    Free text: My heart rate has been elevated in the 120s since the day of the first of 2 doses
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-09-16
    Survey response — 6 months, dose 2
    MedDRA: Heart rate increased — Feeling: Fair
    Free text: Rapid heartbeat i e. 120 sine the day aof 1st shot
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-08
    Dose 3 — Moderna
  26. 2021-11-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Heart rate increased — Feeling: Fair
    Free text: Rapid 120 heartbeat and since 1st dose
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · None
    Adult check-in
  28. 2021-11-13
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair
    Free text: Rapid heartbeat shortness of breath
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Unevaluable event — Feeling: Fair
    Free text: InflsMed heaet
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-17
    Survey response — day 7, dose 3
    MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair
    Free text: Rapid HR, short of breath
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-22
    Survey response — day 14, dose 3
    MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair
    Free text: Rapid heartbeat shortness breathq
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-29
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  33. 2021-12-06
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  34. 2021-12-13
    Survey response — day 35, dose 3
    MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair
    Free text: Rapid heartbeat short of breath after 1st shot
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-12-20
    Survey response — day 42, dose 3
    MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair
    Free text: Rapid heartbeat short if breath
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-02-07
    Survey response — 3 months, dose 3
    MedDRA: Dyspnoea, Heart rate increased, Insomnia — Feeling: Poor
    Free text: Increased heart rate even more, lack of sleep short of breath
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-19Moderna
22021-03-18Moderna
32021-11-08Moderna No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-22

Systemic reaction (other): Indigestion again

Release 9 — 3 months, dose 2

2021-06-17

Symptoms: My heart rate has been elevated in the 120s since the day of the first of 2 doses

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: Rapid heartbeat i e. 120 sine the day aof 1st shot

Release 10 — days 1–6 daily, dose 3

2021-11-11

Systemic reaction (other): Rapid 120 heartbeat and since 1st dose

2021-11-13

Systemic reaction (other): Rapid heartbeat shortness of breath

2021-11-14

Systemic reaction (other): InflsMed heaet

Release 10 — day 7, dose 3

2021-11-17

Systemic reaction (other): Rapid HR, short of breath

Release 10 — day 14, dose 3

2021-11-22

Symptoms: Rapid heartbeat shortness breathq

Release 10 — day 35, dose 3

2021-12-13

Symptoms: Rapid heartbeat short of breath after 1st shot

Release 10 — day 42, dose 3

2021-12-20

Symptoms: Rapid heartbeat short if breath

Release 11 — 3 months, dose 3

2022-02-07

Symptoms: Increased heart rate even more, lack of sleep short of breath

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
SDDyspnoea · · ✓
SDHeart rate increased ✓ ✓ ✓
SDInsomnia · · ✓
SRODyspepsia ✓ ✓ ✓
SRODyspnoea · · ✓
SROHeart rate increased · · ✓
SROUnevaluable event · · ✓

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