6C5-12019-24906
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 498 / MI
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease, Supraventricular tachycardia — Feeling: GoodFree text: A bout today of AVNRT, which I experience rarely, but do have the occasional bout. Probably a coincidence, but I report it here nonetheless. Data is data!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: FairFree text: Another AVNRT episode. Thats two days in a row, which has never happened before. I feel fine otherwise.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Supraventricular tachycardia — Feeling: FairFree text: A short bout (15 minutes) of AVNRT, but the third in four days since the shot five days agohighly unusual. But Im fine otherwise, able to exercise as usual, etc.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-17
- 2021-03-31
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-16
- 2021-04-21
- 2021-04-28
- 2021-05-07
- 2021-05-12
- 2021-05-19
- 2021-07-07
- 2021-10-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): A bout today of AVNRT, which I experience rarely, but do have the occasional bout. Probably a coincidence, but I report it here nonetheless. Data is data!
Systemic reaction (other): Another AVNRT episode. Thats two days in a row, which has never happened before. I feel fine otherwise.
Systemic reaction (other): A short bout (15 minutes) of AVNRT, but the third in four days since the shot five days agohighly unusual. But Im fine otherwise, able to exercise as usual, etc.
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Supraventricular tachycardia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release