N6M-29192-23459
4 vaccinations
5 coded responses
43 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 853 / AZ
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
SVX-59283-59930
Child or adolescent in my care · Male · 2021-11-09
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Moderna
- 2021-03-22
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Palpitations — Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessFree text: Racing heartMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
-
2021-03-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-07
- 2021-04-12
-
2021-04-19
Dose 2 — Moderna
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: Good · Site: Pain · HeadacheFree text: Heart racingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-25
- 2021-04-28
-
2021-05-03
Survey response — day 14, dose 2MedDRA: Dyspnoea — Feeling: GoodFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-07-19
- 2021-10-18
-
2021-12-06
Dose 3 — Moderna
-
2021-12-06
Survey response — day 0, dose 3MedDRA: Heart rate increased — Feeling: Good · Site: PainFree text: Increases resting heart rateMedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Good · Site: Pain, Redness, Swelling · NauseaFree text: Elevated resting heart rateMedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-12-10
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-01-17
- 2022-03-07
- 2022-06-06
-
2022-09-21
Dose 4 — ModernaCo-administered: Flu
- 2022-09-26
- 2022-09-30
- 2022-10-05
- 2022-10-19
- 2022-11-02
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2021-12-06 | Moderna | No |
| 4 | 2022-09-21 | Moderna | Flu |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Racing heart
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Heart racing
Release 8 — day 14, dose 2
Symptoms: Shortness of breath
Release 10 — day 0, dose 3
Systemic reaction (other): Increases resting heart rate
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Elevated resting heart rate
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 | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release