KW9-12407-49420
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 296 / SC
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
-
2021-01-24
Dose 2 — Moderna
- 2021-01-24
-
2021-01-24
Survey response — day 0, dose 2MedDRA: Tachycardia — Feeling: GoodFree text: TachycardiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, NauseaAdult check-in
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-02
- 2021-02-07
- 2021-02-14
-
2021-02-21
Survey response — day 28, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: My left deltoid is sore where the injection was.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-07
- 2021-04-25
- 2021-07-25
-
2022-01-24
Survey response — 12 months, dose 2MedDRA: Hypertension, Office visit, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Palpitations and high blood pressure · Healthcare visit (other): Primary care doctor and cardiologist in personMedDRA releases: 2024-11 · check-in free text available
-
2022-01-24
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-24 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 0, dose 2
Systemic reaction (other): Tachycardia
Release 4 — day 28, dose 2
Symptoms: My left deltoid is sore where the injection was.
Release 11 — 12 months, dose 2
Symptoms: Palpitations and high blood pressure
Healthcare visit (other): Primary care doctor and cardiologist in person
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release