KTA-85293-55024
1 vaccination
1 coded response
8 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 915 / CA
- Registered
- 2021-05-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-11
Registered in v-safe
-
2021-05-11
Dose 1 — Moderna
-
2021-05-11
Survey response — day 0, dose 1MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Increase in ectopic heart beats.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-05-13
- 2021-05-14
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-08-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-11 | Moderna |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Increase in ectopic heart beats.
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