K3Z-22432-30038
2 vaccinations
1 coded response
8 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 104 / NY
- Registered
- 2021-08-19
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-13
Dose 1 — Moderna
-
2021-08-19
Registered in v-safe
-
2021-08-19
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: Rapid heart beatMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-20
Health check-in — day 7, dose 1Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2021-08-20
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
- 2021-08-27
- 2021-09-03
-
2021-09-10
Dose 2 — Moderna
- 2021-09-10
- 2021-09-17
- 2021-09-24
- 2021-10-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-13 | Moderna | No |
| 2 | 2021-09-10 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Rapid heart beat
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 | Heart rate increased | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release