Q65-33734-89770
5 vaccinations
1 coded response
63 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2AV-12632-96613
Child or adolescent in my care · Male · 2022-06-23
URE-42664-94253
Child or adolescent in my care · Female · 2022-06-23
DYD-15325-30474
Child or adolescent in my care · Female · 2023-03-09
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-19
- 2021-01-26
-
2021-01-29
Dose 2 — Moderna
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased, Heart rate increased — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Increased blood pressure and increased heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-04-30
- 2021-07-30
-
2021-12-19
Dose 3 — Moderna
- 2021-12-19
- 2021-12-20
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2021-12-26
- 2022-01-02
- 2022-01-09
- 2022-01-16
- 2022-01-23
- 2022-01-30
- 2022-03-20
- 2022-06-19
-
2022-07-02
Dose 4 — Moderna
- 2022-07-02
- 2022-07-03
- 2022-07-04
- 2022-07-05
- 2022-07-06
- 2022-07-07
- 2022-07-08
- 2022-07-09
- 2022-07-16
- 2022-07-23
- 2022-07-30
- 2022-08-06
- 2022-08-13
- 2022-10-01
- 2022-12-31
-
2023-04-29
Dose 5 — Moderna
-
2023-05-01
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Itching · HeadacheAdult check-in
- 2023-05-02
- 2023-05-03
- 2023-05-05
- 2023-05-06
- 2023-05-13
- 2023-05-20
- 2023-05-27
- 2023-06-03
- 2023-06-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-12-19 | Moderna | No |
| 4 | 2022-07-02 | Moderna | No |
| 5 | 2023-04-29 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Increased blood pressure and increased 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 |
|---|---|---|---|---|
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release