6WA-25482-55408
4 vaccinations
6 coded responses
47 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 265 / WV
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-06
Registered in v-safe
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Ventricular extrasystoles — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Premature ventricular contractions (PVCs) onset 8 hours after this 2nd dose, at the frequency of 3 or 4 per minuteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia, Ventricular extrasystoles — Feeling: GoodFree text: Premature ventricular contractions (PVCs). However, the PVCs frequency decreased from 1 every 10 seconds of last night to less than 1 per hour of now (2021-03-07@14:44). This rate drop was coincident with the end of the fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
- 2021-09-04
-
2021-11-23
Dose 3 — ModernaCo-administered: Flu
- 2021-11-23
-
2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia — Feeling: Good · HeadacheFree text: Difficulty to sleep during the nightMedDRA releases: 2024-11 · check-in free text available
-
2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia — Feeling: Good · Site: RednessFree text: Difficulty to sleepMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-07
- 2021-12-16
- 2022-02-22
- 2022-05-24
-
2022-07-09
Dose 4 — Moderna
- 2022-07-09
-
2022-07-10
Survey response — days 1–6 daily, dose 4MedDRA: Ventricular extrasystoles — Feeling: Fair · Fatigue or tirednessFree text: PVCs (about one or two per minute)MedDRA releases: 2024-11 · check-in free text available
- 2022-07-11
- 2022-07-12
- 2022-07-13
- 2022-07-14
- 2022-07-16
- 2022-07-24
-
2022-07-30
Survey response — day 21, dose 4MedDRA: Ventricular extrasystoles — Feeling: GoodFree text: PVCs came back on some days and only while resting. Sports such as running seem to make PVCs go away during the high intensity activity period.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-13
- 2022-08-20
- 2022-10-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-11-23 | Moderna | Flu |
| 4 | 2022-07-09 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Premature ventricular contractions (PVCs) onset 8 hours after this 2nd dose, at the frequency of 3 or 4 per minute
Systemic reaction (other): Premature ventricular contractions (PVCs). However, the PVCs frequency decreased from 1 every 10 seconds of last night to less than 1 per hour of now (2021-03-07@14:44). This rate drop was coincident with the end of the fever.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Difficulty to sleep during the night
Systemic reaction (other): Difficulty to sleep
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): PVCs (about one or two per minute)
Release 12 — day 21, dose 4
Symptoms: PVCs came back on some days and only while resting. Sports such as running seem to make PVCs go away during the high intensity activity period.
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 | Ventricular extrasystoles | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Ventricular extrasystoles | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release