MA6-77467-21680
2 vaccinations
3 coded responses
9 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 329 / FL
- Registered
- 2021-08-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-17
Registered in v-safe
-
2021-08-17
Dose 1 — Moderna
- 2021-08-17
-
2021-08-18
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: LightheadedMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Increased heart rate when standing.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-21
- 2021-08-22
- 2021-08-23
-
2021-09-14
Dose 2 — Moderna
-
2021-09-16
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Increased heart rate when standingMedDRA releases: 2024-11 · check-in free text available
- 2021-09-17
- 2021-09-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-17 | Moderna | No |
| 2 | 2021-09-14 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Lightheaded
Systemic reaction (other): Increased heart rate when standing.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Increased heart rate when standing
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 | Dizziness | ✓ | · | ✓ |
| SRO | Heart rate increased | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release