27M-14006-03963
4 vaccinations
8 coded responses
39 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 532 / WI
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-02
Registered in v-safe
- 2021-03-02
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Joint painsFree text: Lasted 2-3 hours late last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-04
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: GoodFree text: Sore armpit on same arm as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
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2021-07-02
Survey response — 3 months, dose 2MedDRA: Arrhythmia, Electrocardiogram QRS complex prolonged, Ventricular extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Abnormal heart rhythms. PVCs & Wide QRSMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-02
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-07
-
2021-10-01
Survey response — 6 months, dose 2MedDRA: Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Heart palpitations that several tests could not ID source of. Started 5/24/21My last vax was 4/2/21Curious if there is a possible connection. Please call me. Thanks :)MedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-05
-
2021-12-03
Dose 3 — Moderna
- 2022-04-02
-
2022-06-10
Dose 4 — Moderna
-
2022-06-12
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, DiarrheaAdult check-in
-
2022-06-13
Survey response — days 1–6 daily, dose 4MedDRA: Heart rate irregular — Feeling: GoodFree text: Irregularity heartbeatMedDRA releases: 2024-11 · check-in free text available
-
2022-06-14
Survey response — days 1–6 daily, dose 4MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Joint painsFree text: My joint pain since the injection has travelled to different joints.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-15
- 2022-06-16
- 2022-06-17
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2022-07-03
Survey response — day 21, dose 4MedDRA: Palpitations, Vaccine positive rechallenge — Feeling: GoodFree text: Random heart palpitations. I've had them starting about 3-6 weeks after all my Moderna vaccinesMedDRA releases: 2024-11 · check-in free text available
-
2022-07-08
Survey response — day 28, dose 4MedDRA: Heart rate irregular — Feeling: GoodFree text: Abnormal heart rhythm. Happened about 3-6 weeks after all my Moderna vaccinesMedDRA releases: 2024-11 · check-in free text available
- 2022-07-15
- 2022-07-22
- 2022-09-09
- 2022-12-09
- 2023-06-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
| 4 | 2022-06-10 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Lasted 2-3 hours late last night
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Sore armpit on same arm as injection
Release 9 — 3 months, dose 2
Symptoms: Abnormal heart rhythms. PVCs & Wide QRS
Release 9 — 6 months, dose 2
Symptoms: Heart palpitations that several tests could not ID source of. Started 5/24/21My last vax was 4/2/21Curious if there is a possible connection. Please call me. Thanks :)
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Irregularity heartbeat
Systemic reaction (other): My joint pain since the injection has travelled to different joints.
Release 12 — day 21, dose 4
Symptoms: Random heart palpitations. I've had them starting about 3-6 weeks after all my Moderna vaccines
Release 12 — day 28, dose 4
Symptoms: Abnormal heart rhythm. Happened about 3-6 weeks after all my Moderna vaccines
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 | Arrhythmia | ✓ | ✓ | ✓ |
| SD | Electrocardiogram QRS complex prolonged | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SD | Ventricular extrasystoles | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Heart rate irregular | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release