P9K-21213-93656
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 676 / KS
- Registered
- 2020-12-31
- Relationship
- Self
Timeline
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2020-12-31
Registered in v-safe
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2020-12-31
Dose 1 — Moderna
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2020-12-31
Survey response — day 0, dose 1MedDRA: Heart rate increased — Feeling: Good · Site: PainFree text: Increased heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Tachycardia — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tirednessFree text: TachycardiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-02
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Oedema peripheral — Feeling: Good · Site: PainFree text: Noticed swelling last night in my underarm on the same side as my injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Oedema peripheral — Feeling: Good · HeadacheFree text: Swelling in my underarmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Oedema peripheral — Feeling: Good · HeadacheFree text: Swelling continues in my underarmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
- 2021-01-07
- 2021-01-14
- 2021-01-21
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2021-01-28
Dose 2 — Moderna
- 2021-01-28
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Increased heart rate
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Tachycardia
Systemic reaction (other): Noticed swelling last night in my underarm on the same side as my injection
Systemic reaction (other): Swelling in my underarm
Systemic reaction (other): Swelling continues in my underarm
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 | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Swelling | ○ | ○ | ○ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release