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4Z6-65798-07412

2 vaccinations 4 coded responses 24 check-ins 4 free-text entries 2 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
554 / MN
Registered
2021-01-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Registered in v-safe
  2. 2021-01-29
    Dose 1 — Moderna
  3. 2021-01-29
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  7. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  8. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-27
    Survey response — day 28, dose 1
    MedDRA: Heart rate increased — Feeling: Fair
    Free text: Increased heart rate (100-130 BPM) compared to my usual heart rate of 77-90 while seated or standing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-01
    Dose 2 — Moderna
  15. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  16. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-22
    Survey response — day 21, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: Fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-12
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-05-31
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-30
    Survey response — 6 months, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit
    Free text: Shortness of breath, beginning in July. I initially thought it was related to poor air quality due to forest fires, but the air quality improved, and my breathing is worsening.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-08-30
    Report sent to call center — 6 months, 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)
  28. 2021-09-03
  29. 2021-09-03
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  30. 2022-03-03
    Survey response — 12 months, dose 2
    MedDRA: Cardiomyopathy, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: I was diagnosed with non-ischemic cardiomyopathy, likely a consequence of COVID-19, but in no way related to the vaccine (I got sick before the vaccine was available)
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-03-03
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  32. 2022-03-04

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna
22021-03-01Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — day 28, dose 1

2021-02-27

Symptoms: Increased heart rate (100-130 BPM) compared to my usual heart rate of 77-90 while seated or standing

Release 6 — day 21, dose 2

2021-03-22

Symptoms: Fatigue

Release 9 — 6 months, dose 2

2021-08-30

Symptoms: Shortness of breath, beginning in July. I initially thought it was related to poor air quality due to forest fires, but the air quality improved, and my breathing is worsening.

Release 11 — 12 months, dose 2

2022-03-03

Symptoms: I was diagnosed with non-ischemic cardiomyopathy, likely a consequence of COVID-19, but in no way related to the vaccine (I got sick before the vaccine was available)

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
SDCardiomyopathy · · ✓
SDDyspnoea ✓ · ✓
SDFatigue ✓ ✓ ✓
SDHeart rate increased ✓ ✓ ✓
SDPre-existing disease · · ✓

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