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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

  1. 2021-03-10
    Registered in v-safe
  2. 2021-03-10
    Dose 1 — Moderna
  3. 2021-03-10
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease, Supraventricular tachycardia — Feeling: Good
    Free 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
  5. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair
    Free 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
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Supraventricular tachycardia — Feeling: Fair
    Free 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
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-07
    Dose 2 — Moderna
  12. 2021-04-07
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  14. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-07Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

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!

2021-03-12

Systemic reaction (other): Another AVNRT episode. Thats two days in a row, which has never happened before. I feel fine otherwise.

2021-03-14

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

FieldPreferred term2021-092023-042024-11
SROCondition aggravated ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSupraventricular tachycardia ✓ ✓ ✓

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