5HK-34127-02283
4 vaccinations
8 coded responses
27 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 727 / AR
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Dose 1 — Moderna
-
2021-03-20
Dose 2 — Moderna
-
2021-03-21
Registered in v-safe
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2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
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2021-03-28
Survey response — day 7, dose 2MedDRA: Migraine — Feeling: Fair · Headache, Fatigue or tirednessFree text: MigraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 14, dose 2MedDRA: Insomnia — Feeling: FairFree text: Insomnia, I never used to have a problem sleeping and now I struggle to even get to sleep at all.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 21, dose 2MedDRA: Acne, Application site acne, Injection site pain, Injection site reaction — Feeling: GoodFree text: The area in which I got my shot on my arm, formed liked a big blood pimple thing and burst. Only hurts if I press on it though. Otherwise, I feel fine, it's just weird.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-24
- 2021-05-01
- 2021-06-20
- 2021-09-18
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2021-12-22
Dose 3 — Moderna
- 2022-03-22
- 2022-06-22
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2022-12-21
Dose 4 — Moderna
- 2022-12-22
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2022-12-22
Survey response — days 1–6 daily, dose 4MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Increased heart rateMedDRA releases: 2024-11 · check-in free text available
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2022-12-23
Survey response — days 1–6 daily, dose 4MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · HeadacheFree text: Still increased heart rate but not as bad as yesterdayMedDRA releases: 2024-11 · check-in free text available
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2022-12-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tirednessFree text: Difficulty sleeping and still an elevated heart rateAdult check-in · check-in free text available
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2022-12-27
Survey response — days 1–6 daily, dose 4MedDRA: Heart rate increased — Feeling: GoodFree text: Still a quite elevated heart rateMedDRA releases: 2024-11 · check-in free text available
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2022-12-28
Survey response — day 7, dose 4MedDRA: Heart rate increased — Feeling: GoodFree text: Still an elevated heart rate but it is finally starting to go down, it went down 1 bpm today.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-06
- 2023-01-11
- 2023-01-18
- 2023-01-25
- 2023-03-22
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2023-06-21
Survey response — 6 months, dose 4MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-20 | Moderna | |
| 3 | 2021-12-22 | Moderna | No |
| 4 | 2022-12-21 | Moderna | No |
Free text
Release 6 — day 7, dose 2
Systemic reaction (other): Migraine
Release 6 — day 14, dose 2
Symptoms: Insomnia, I never used to have a problem sleeping and now I struggle to even get to sleep at all.
Release 7 — day 21, dose 2
Symptoms: The area in which I got my shot on my arm, formed liked a big blood pimple thing and burst. Only hurts if I press on it though. Otherwise, I feel fine, it's just weird.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Increased heart rate
Systemic reaction (other): Still increased heart rate but not as bad as yesterday
Systemic reaction (other): Difficulty sleeping and still an elevated heart rate
Systemic reaction (other): Still a quite elevated heart rate
Release 12 — day 7, dose 4
Systemic reaction (other): Still an elevated heart rate but it is finally starting to go down, it went down 1 bpm today.
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 |
|---|---|---|---|---|
| SD | Acne | ✓ | · | ✓ |
| SD | Application site acne | ○ | ✓ | ○ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release