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5XV-31879-49734

2 vaccinations 5 coded responses 12 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
973 / OR
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-04
    Dose 1 — Moderna
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Dose 2 — Moderna
  4. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased, Pre-existing disease — Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Last night my heart rate got really high. Just walking to bathroom I got to 145BPM. Ive suspected an underlying condition for a while though. Its elevated now but staying around 100 since 2am.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Difficulty taking a full breath. Im unsure if it can be attributed to the vaccine though.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  8. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Breathing problems possibly due to vaccine, there are other factors.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-13
    Survey response — day 7, dose 2
    MedDRA: Dyspnoea — Feeling: Good · Fatigue or tiredness
    Free text: Still having some trouble breathing. Its getting better though.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-20
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-03-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-08
    Health check-in — day 35, dose 2
    Feeling: Poor
    Adult check-in
  14. 2021-06-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-09-02
    Survey response — 6 months, dose 2
    MedDRA: Asthma, Chest pain, Heart rate decreased — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Odd chest pains accompanied by extremely low awake HR of 58 with no general explanation. Usually subsides within 25 minutes. Still having sever asthma like symptoms that are unpredictable.
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-04Moderna

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Last night my heart rate got really high. Just walking to bathroom I got to 145BPM. Ive suspected an underlying condition for a while though. Its elevated now but staying around 100 since 2am.

2021-03-06

Systemic reaction (other): Difficulty taking a full breath. Im unsure if it can be attributed to the vaccine though.

2021-03-10

Systemic reaction (other): Breathing problems possibly due to vaccine, there are other factors.

Release 5 — day 7, dose 2

2021-03-13

Systemic reaction (other): Still having some trouble breathing. Its getting better though.

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: Odd chest pains accompanied by extremely low awake HR of 58 with no general explanation. Usually subsides within 25 minutes. Still having sever asthma like symptoms that are unpredictable.

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
SDAsthma ✓ · ✓
SDChest pain ✓ · ✓
SDHeart rate decreased ✓ · ✓
SRODyspnoea ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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