5TB-13520-06136
2 vaccinations
1 coded response
25 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 956 / CA
- Registered
- 2021-04-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-26
Registered in v-safe
-
2021-04-26
Dose 1 — Moderna
- 2021-04-26
-
2021-04-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-28
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate decreased — Feeling: GoodFree text: Lower than usual heart rate variabilityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
-
2021-05-24
Dose 2 — Moderna
- 2021-05-24
-
2021-05-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to workAdult check-in
-
2021-05-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-05-27
- 2021-05-28
- 2021-05-29
- 2021-05-30
- 2021-05-31
- 2021-06-07
- 2021-06-14
- 2021-06-21
- 2021-06-28
- 2021-07-05
- 2021-08-23
- 2021-11-22
- 2022-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-26 | Moderna | |
| 2 | 2021-05-24 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Lower than usual heart rate variability
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 | Heart rate decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release