4QW-34199-17125
4 vaccinations
6 coded responses
36 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 148 / NY
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Injection site erythema — Feeling: Fair · Site: Pain, Redness · Joint pains, Fatigue or tirednessFree text: The redness at the site appeared in part due to the adhesive from the bandaid used after the injection even though it was taken off as soon as I returned home from the vaccination. I felt a little weak in my knees and hips several times during the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Supraventricular tachycardia, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Supraventricular Tachycardia Follow up with specialist pending · Healthcare visit (other): Specialist care pendingMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-12
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
-
2021-12-12
Dose 3 — Moderna
-
2022-02-11
Survey response — 12 months, dose 2MedDRA: Primary biliary cholangitis, Supraventricular tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: PBC Supraventricular tachycardiaMedDRA releases: 2024-11 · check-in free text available
-
2022-02-11
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-02-14
-
2022-04-21
Dose 4 — Moderna
-
2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-24
-
2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Heart rate decreased — Feeling: Good · Site: ItchingFree text: Low heart rate detected on Apple Watch while sleepingMedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
- 2022-04-27
-
2022-04-30
Survey response — day 7, dose 4MedDRA: Heart rate decreased — Feeling: GoodFree text: Low heart rate notification while sleepingMedDRA releases: 2024-11 · check-in free text available
-
2022-05-05
Survey response — day 14, dose 4MedDRA: Heart rate decreased, Muscle spasms, Pain in extremity — Feeling: GoodFree text: Cramp in leg, pain in leg behind knee, continued low heart rate notices when sleepingMedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-10-20
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-12-12 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The redness at the site appeared in part due to the adhesive from the bandaid used after the injection even though it was taken off as soon as I returned home from the vaccination. I felt a little weak in my knees and hips several times during the day.
Release 9 — 6 months, dose 2
Symptoms: Supraventricular Tachycardia Follow up with specialist pending
Healthcare visit (other): Specialist care pending
Release 11 — 12 months, dose 2
Symptoms: PBC Supraventricular tachycardia
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Low heart rate detected on Apple Watch while sleeping
Release 11 — day 7, dose 4
Systemic reaction (other): Low heart rate notification while sleeping
Release 11 — day 14, dose 4
Symptoms: Cramp in leg, pain in leg behind knee, continued low heart rate notices when sleeping
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Heart rate decreased | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Primary biliary cholangitis | · | · | ✓ |
| SD | Supraventricular tachycardia | ✓ | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Heart rate decreased | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release