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TV9-25035-34163

1 vaccination 1 coded response 11 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
574 / SD
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · Muscle or body aches
    Adult check-in
  5. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-12-29
    Survey response — 12 months, dose 1
    MedDRA: Heart rate increased, Hospitalisation, Loss of consciousness, Palpitations, Sinus tachycardia, Ventricular extrasystoles — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Heart palpitations. Racing heart. Diagnosis with inappropriate sinus tachycardia with pvc. Passed out at work and was in the hospital for 2 days to get heart rate controlled.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-29
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  15. 2021-12-30

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — 12 months, dose 1

2021-12-29

Symptoms: Heart palpitations. Racing heart. Diagnosis with inappropriate sinus tachycardia with pvc. Passed out at work and was in the hospital for 2 days to get heart rate controlled.

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

FieldPreferred term2021-092023-042024-11
SDHeart rate increased · · ✓
SDHospitalisation · · ✓
SDLoss of consciousness · · ✓
SDPalpitations · · ✓
SDSinus tachycardia · · ✓
SDVentricular extrasystoles · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release