9WG-13930-90202
2 vaccinations
2 coded responses
11 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 680 / NE
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Moderna
-
2021-01-29
Registered in v-safe
-
2021-01-29
Survey response — day 14, dose 1MedDRA: Extrasystoles — Feeling: FairFree text: Increased ectopic beats.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Survey response — day 21, dose 1MedDRA: Fatigue, Headache, Palpitations — Feeling: FairFree text: Heart palpitations, headache, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
-
2021-02-12
Dose 2 — Moderna
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-21
- 2021-03-07
- 2021-03-13
- 2021-03-26
- 2021-08-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Free text
Release 3 — day 14, dose 1
Symptoms: Increased ectopic beats.
Release 3 — day 21, dose 1
Symptoms: Heart palpitations, headache, fatigue
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 | Extrasystoles | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release