2CS-26768-13081
2 vaccinations
2 coded responses
6 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 982 / WA
- Registered
- 2021-04-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-04-16
Dose 2 — Moderna
-
2021-04-18
Registered in v-safe
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-23
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-07-16
-
2021-10-15
Survey response — 6 months, dose 2MedDRA: Hypoaesthesia, Pre-existing disease, Salivary gland calculus — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Salivary stone, partial facial numbness. Confirmation from physician that viral respiratory infection and subsequent pneumonia in January and February of 2020 (before vaccine) was COVID-19. Had "COVID toes" after, toenails still won't grow properly.MedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2021-10-18
Call successfulCompleted over the phone
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2022-04-16
Survey response — 12 months, dose 2MedDRA: Atrial tachycardia, Bradycardia, Cardiac disorder, Pre-existing disease, Sinus tachycardia, Surgery — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Heart problems. Sinus tachycardia, atrial tachycardia, bradycardia. Scheduled to have a pacemaker put in on May 9th. I am 36 years old and not obese, have good cholesterol, etc. · Healthcare visit (other): Long term health monitoring, multiple surgeries.MedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-04-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 10 — 6 months, dose 2
Symptoms: Salivary stone, partial facial numbness. Confirmation from physician that viral respiratory infection and subsequent pneumonia in January and February of 2020 (before vaccine) was COVID-19. Had "COVID toes" after, toenails still won't grow properly. cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: Heart problems. Sinus tachycardia, atrial tachycardia, bradycardia. Scheduled to have a pacemaker put in on May 9th. I am 36 years old and not obese, have good cholesterol, etc.
Healthcare visit (other): Long term health monitoring, multiple surgeries.
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 | Pre-existing disease | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| SD | Atrial tachycardia | · | · | ✓ |
| SD | Bradycardia | · | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Salivary gland calculus | · | · | ✓ |
| SD | Sinus tachycardia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release