2TQ-32119-68051
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 750 / TX
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
-
2021-04-06
Survey response — day 14, dose 1MedDRA: Cough, Headache, Impaired work ability, Medical counselling, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Bad sore throat, some nasal congestion & discharge, some coughing, some headache. I have that yucky contagious feel. Staying home from work & awaiting COVID test results. · Healthcare visit (other): Pharmacy COVID test whuch is pendingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-13
-
2021-04-19
Dose 2 — Moderna
- 2021-04-19
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: LightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-23
- 2021-04-25
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-07-19
-
2021-10-20
Survey response — 6 months, dose 2MedDRA: Angioplasty, Coronary arterial stent insertion, Coronary artery occlusion, Medical procedure — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I had a 70% blockage in my heart, mid-LAD, so angioplasty & stent. I'm sure it's unrelated to vaccine. · Healthcare visit (other): Outpatient hospital procedure...amazing.MedDRA releases: 2024-11 · check-in free text available
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2021-10-20
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2021-10-22
-
2022-04-19
Survey response — 12 months, dose 2MedDRA: Angioplasty, Atrial fibrillation, Chills, Cholecystectomy, Coronary arterial stent insertion, Pre-existing disease, Pyrexia, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Symptoms: Angioplasty & Mid-LAD heart stent 9/17/21. I have A-Fib; after stent, I had no arrhythmias for months, until I received COVID booster 12/2/21 and within 24 hours had fever, chills, and A-Fib episode. Also had gallblader removed 3/25/22. · Healthcare visit (other): SurgeriesMedDRA releases: 2024-11 · check-in free text available
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2022-04-19
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 prOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-04-20
- 2022-04-21
- 2022-04-21
-
2022-04-21
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-19 | Moderna |
Call center
3 call center cases
3 successful
Free text
Release 7 — day 14, dose 1
Symptoms: Bad sore throat, some nasal congestion & discharge, some coughing, some headache. I have that yucky contagious feel. Staying home from work & awaiting COVID test results.
Healthcare visit (other): Pharmacy COVID test whuch is pending
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Lightheadedness
Release 10 — 6 months, dose 2
Symptoms: I had a 70% blockage in my heart, mid-LAD, so angioplasty & stent. I'm sure it's unrelated to vaccine.
Healthcare visit (other): Outpatient hospital procedure...amazing.
Release 11 — 12 months, dose 2
Symptoms: Angioplasty & Mid-LAD heart stent 9/17/21. I have A-Fib; after stent, I had no arrhythmias for months, until I received COVID booster 12/2/21 and within 24 hours had fever, chills, and A-Fib episode. Also had gallblader removed 3/25/22.
Healthcare visit (other): 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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Medical procedure | · | · | ✓ |
| HCVO | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| HCVO | Surgery | · | · | ✓ |
| SD | Angioplasty | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cholecystectomy | · | · | ✓ |
| SD | Coronary arterial stent insertion | · | · | ✓ |
| SD | Coronary artery occlusion | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release