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
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2021-02-04
Dose 1 — Moderna
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2021-03-04
Registered in v-safe
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2021-03-04
Dose 2 — Moderna
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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
- 2021-03-07
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Breathing problems possibly due to vaccine, there are other factors.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — day 7, dose 2MedDRA: Dyspnoea — Feeling: Good · Fatigue or tirednessFree text: Still having some trouble breathing. Its getting better though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-06-05
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2021-09-02
Survey response — 6 months, dose 2MedDRA: Asthma, Chest pain, Heart rate decreased — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 2
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.
Systemic reaction (other): Difficulty taking a full breath. Im unsure if it can be attributed to the vaccine though.
Systemic reaction (other): Breathing problems possibly due to vaccine, there are other factors.
Release 5 — day 7, dose 2
Systemic reaction (other): Still having some trouble breathing. Its getting better though.
Release 9 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Asthma | ✓ | · | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | Heart rate decreased | ✓ | · | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release