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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

  1. 2021-01-08
    Dose 1 — Moderna
  2. 2021-01-18
    Registered in v-safe
  3. 2021-01-18
    Survey response — day 7, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: These symptoms were night of injection, 1 week later I might have had mild flu like symptoms for 24 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-05
    Dose 2 — Moderna
  6. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diarrhoea, Palpitations — Feeling: Fair · Fatigue or tiredness
    Free 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 though
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate irregular, Self-medication — Feeling: Good · Fever · Muscle or body aches
    Free text: Just the irregular heart rate( stable in the 70s PVCs) Symptoms subsided after sting ibuprofen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna

Free text

Release 2 — day 7, dose 1

2021-01-18

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

2021-02-07

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

2021-02-08

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

FieldPreferred term2021-092023-042024-11
SROAdverse reaction ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROHeart rate irregular ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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