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5ZE-26028-14415

2 vaccinations 2 coded responses 14 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
403 / KY
Registered
2021-04-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-04-26
    Dose 2 — Moderna
  3. 2021-04-27
    Registered in v-safe
  4. 2021-04-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: My heart rate normally stays in the 60s when I am sitting. I noticed that about the 24 hours after the shot time that my heart rate were sitting around 82 to 85 bpm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: Yesterday when I was resting my heart rate was consistently above 80 to beats per minute. I was not anxious scared or upset. This morning I woke up and as I was doing my morning reading my heart rate was staying steady between 55 and 60. Back to normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-05-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-04-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-26Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): My heart rate normally stays in the 60s when I am sitting. I noticed that about the 24 hours after the shot time that my heart rate were sitting around 82 to 85 bpm.

2021-04-28

Systemic reaction (other): Yesterday when I was resting my heart rate was consistently above 80 to beats per minute. I was not anxious scared or upset. This morning I woke up and as I was doing my morning reading my heart rate was staying steady between 55 and 60. Back to normal.

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
SROHeart rate increased ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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