5JQ-24839-36543
2 vaccinations
3 coded responses
5 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 130 / NY
- Registered
- 2021-01-18
- Relationship
- Self
Timeline
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2021-01-08
Dose 1 — Moderna
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2021-01-18
Registered in v-safe
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2021-01-18
Survey response — day 7, dose 1MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: These symptoms were night of injection, 1 week later I might have had mild flu like symptoms for 24 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
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2021-02-05
Dose 2 — Moderna
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2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea, Palpitations — Feeling: Fair · Fatigue or tirednessFree text: Mild loose stool, Im experiencing heart palpitations ( PVCs) but this is probably unrelated. I had some green tea in the am and I exercised moderately both Friday and Saturday. May not have had enough to drink. Not sure. Will be monitoring heart symptoms this week thoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate irregular, Self-medication — Feeling: Good · Fever · Muscle or body achesFree text: Just the irregular heart rate( stable in the 70s PVCs) Symptoms subsided after sting ibuprofenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): These symptoms were night of injection, 1 week later I might have had mild flu like symptoms for 24 hours
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Mild loose stool, Im experiencing heart palpitations ( PVCs) but this is probably unrelated. I had some green tea in the am and I exercised moderately both Friday and Saturday. May not have had enough to drink. Not sure. Will be monitoring heart symptoms this week though
Systemic reaction (other): Just the irregular heart rate( stable in the 70s PVCs) Symptoms subsided after sting ibuprofen
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release