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2ZE-14537-08790

1 vaccination 7 coded responses 14 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
070 / NJ
Registered
2021-01-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Registered in v-safe
  2. 2021-01-26
    Dose 1 — Moderna
  3. 2021-01-26
    Survey response — day 0, dose 1
    MedDRA: Dizziness, Heart rate increased, Hypertension, Office visit, Throat tightness — Feeling: Poor · Site: Pain · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Dizziness. Increased heart rate, high blood pressure, tightening of throat · Healthcare visit (other): Doctors office - had ekg and shot of Benadryl
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-26
    Report sent to call center — day 0, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Heart rate irregular — Feeling: Fair · Site: Pain, Redness
    Free text: Dizziness, irregular heart beat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Heart rate irregular, Hypertension — Feeling: Poor · Site: Pain, Redness · Abdominal pain · Be unable to do your normal daily activities
    Free text: Rapid irregular heart rate, high blood pressure
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Heart rate irregular — Feeling: Fair
    Free text: Irregular heart beat less than the past few days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea, Heart rate irregular — Feeling: Fair
    Free text: Slight shortness of breath and still periodic irregular heartbeat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Heart rate irregular — Feeling: Good · Site: Redness
    Free text: Much less irregular heart beat but still happens occasionally out of nowhere
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  11. 2021-02-09
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Medical counselling, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Red, itchy, hot soreness at sight of injection 8 days following vaccine. This last 3 days and the redness covered a good portion beyond injection site. I saw the Dr in person and had a telemed visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-09
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-02-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-23
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-03-02
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-03-09
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-04-10
    Call successful
    Participant prefers to complete VAERS report online
  18. 2021-04-27
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  19. 2021-07-29
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-26

Systemic reaction (other): Dizziness. Increased heart rate, high blood pressure, tightening of throat
Healthcare visit (other): Doctors office - had ekg and shot of Benadryl

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Dizziness, irregular heart beat

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Rapid irregular heart rate, high blood pressure

2021-01-29

Systemic reaction (other): Irregular heart beat less than the past few days

2021-01-30

Systemic reaction (other): Slight shortness of breath and still periodic irregular heartbeat

2021-01-31

Systemic reaction (other): Much less irregular heart beat but still happens occasionally out of nowhere

Release 3 — day 14, dose 1

2021-02-09

Symptoms: Red, itchy, hot soreness at sight of injection 8 days following vaccine. This last 3 days and the redness covered a good portion beyond injection site. I saw the Dr in person and had a telemed visit

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROHeart rate irregular ✓ ✓ ✓
SROHypertension ✓ ✓ ✓
SROThroat tightness ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release