2BV-52651-87049
3 vaccinations
3 coded responses
24 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 308 / GA
- Registered
- 2021-08-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-17
Registered in v-safe
-
2021-08-17
Dose 1 — Moderna
-
2021-08-17
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-08-20
Survey response — days 1–6 daily, dose 1MedDRA: Palpitations — Feeling: GoodFree text: Heart palpitationsMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-22
- 2021-08-26
- 2021-08-31
-
2021-09-07
Survey response — day 21, dose 1MedDRA: Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Hives all over bodyMedDRA releases: 2024-11 · check-in free text available
-
2021-09-07
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-14
Dose 2 — Moderna
-
2021-09-14
Health check-in — day 0, dose 2Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-09-17
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Heart palpitations · Healthcare visit (other): Have appointment next week with provider. In person.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-17
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-20
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-23
- 2021-09-28
- 2021-10-07
- 2021-10-12
- 2021-10-21
- 2021-10-26
- 2021-12-14
- 2022-03-15
-
2022-04-22
Dose 3 — Moderna
-
2022-04-22
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
-
2022-04-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-29
- 2022-05-13
- 2022-05-22
- 2022-05-27
- 2022-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-17 | Moderna | No |
| 2 | 2021-09-14 | Moderna | No |
| 3 | 2022-04-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-07 | Successful 2021-09-08 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-09-17 | Successful 2021-09-20 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Heart palpitations
Release 9 — day 21, dose 1
Symptoms: Hives all over body
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Heart palpitations
Healthcare visit (other): Have appointment next week with provider. In person.
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Palpitations | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release