2LJ-87349-04703
3 vaccinations
9 coded responses
40 check-ins
9 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 018 / MA
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-16
Registered in v-safe
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2021-02-16
Dose 1 — Moderna
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2021-02-16
Survey response — day 0, dose 1MedDRA: Atrial fibrillation — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Had a little afib but called my dr and he said because I got so nervous about having the shot it probably gave me an adrenaline rush and caused me to have afib. It only lasted 20 min.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Report sent to call center — day 0, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Pyrexia — Feeling: Fair · Site: Swelling · Fever · Chills, HeadacheFree text: Slight feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
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2021-03-09
Survey response — day 21, dose 1MedDRA: Atrial fibrillation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Had another afib attackMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-16
Dose 2 — Moderna
- 2021-03-16
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2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Bad stomach ache 2 hrs after shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Illness — Feeling: Good · Site: SwellingFree text: No but I was so sick yesterday the day after the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
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2021-04-13
Survey response — day 28, dose 2MedDRA: Atrial fibrillation, Cardiac flutter, Extrasystoles — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Heart is skipping beats, flutter also. After first covid shot I was out right into an afib attack. Dr made me wear a monitor for second shot but didnt happen after first shot.... but since second shot Ive been having some issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-27
- 2021-06-15
- 2021-06-15
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2021-06-15
Call successfulParticipant prefers to complete VAERS report online
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2021-09-14
Survey response — 6 months, dose 2MedDRA: Muscular weakness, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: The muscles in my legs are very weak . It started a couple of months after the last shot. Dr was trying to figure out if it is related to vaccine ? · Healthcare visit (other): In person visitMedDRA releases: 2024-11 · check-in free text available
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2021-09-14
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-15
Call successfulParticipant prefers to complete VAERS report online
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2021-12-13
Dose 3 — Moderna
- 2021-12-13
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2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-12-15
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-12-16
- 2021-12-17
- 2021-12-18
- 2021-12-19
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-01-17
- 2022-01-24
- 2022-03-14
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2022-06-13
Survey response — 6 months, dose 3MedDRA: Atrial fibrillation, Dehydration, Dizziness, Hospitalisation, Nausea, Pyrexia, Viral infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Virus with fever. Nausea ,dizzy, and because of dehydration, went into afib. HospitalizedMedDRA releases: 2024-11 · check-in free text available
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2022-06-13
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-06-14
- 2022-12-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-12-13 | Moderna | No |
Call center
5 call center cases
4 successful · 1 unsuccessful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Had a little afib but called my dr and he said because I got so nervous about having the shot it probably gave me an adrenaline rush and caused me to have afib. It only lasted 20 min.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Slight fever
Release 5 — day 21, dose 1
Symptoms: Had another afib attack
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Bad stomach ache 2 hrs after shot.
Systemic reaction (other): No but I was so sick yesterday the day after the vaccine.
Release 7 — day 28, dose 2
Symptoms: Heart is skipping beats, flutter also. After first covid shot I was out right into an afib attack. Dr made me wear a monitor for second shot but didnt happen after first shot.... but since second shot Ive been having some issues.
Release 9 — 6 months, dose 2
Symptoms: The muscles in my legs are very weak . It started a couple of months after the last shot. Dr was trying to figure out if it is related to vaccine ?
Healthcare visit (other): In person visit
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): None
Release 12 — 6 months, dose 3
Symptoms: Virus with fever. Nausea ,dizzy, and because of dehydration, went into afib. Hospitalized
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 | Office visit | · | · | ✓ |
| SD | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Cardiac flutter | ✓ | ✓ | ✓ |
| SD | Dehydration | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Extrasystoles | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Atrial fibrillation | ✓ | ✓ | ✓ |
| SRO | Illness | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release