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URV-32187-18962

1 vaccination 3 coded responses 3 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
006 / PR
Registered
2021-08-21
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-08-20
    Dose 1 — Moderna
  2. 2021-08-21
    Registered in v-safe
  3. 2021-08-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Palpitations — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: Last night I had some involuntary palpitations of one muscle in one of my legs, never happened before.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-08-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I have had 97-104 heart rate since last night. My usual hear rate is about 67, i have been about to go to the hospital.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Noninfective gingivitis — Feeling: Good · Fatigue or tiredness
    Free text: Gum inflamation, I had it since yesterday but today is worst
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-08-20Moderna No

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-21

Systemic reaction (other): Last night I had some involuntary palpitations of one muscle in one of my legs, never happened before.

2021-08-22

Systemic reaction (other): I have had 97-104 heart rate since last night. My usual hear rate is about 67, i have been about to go to the hospital.

2021-08-23

Systemic reaction (other): Gum inflamation, I had it since yesterday but today is worst

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
SROHeart rate increased ✓ · ✓
SRONoninfective gingivitis ✓ · ✓
SROPalpitations ✓ · ✓

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