37C-17778-23656
1 vaccination
5 coded responses
9 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 140 / NY
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Moderna
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2021-04-16
Registered in v-safe
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2021-04-16
Survey response — day 7, dose 1MedDRA: Anxiety, Nervousness, Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to workFree text: Felt as if my heart is racing, but heart rate is normal. Shaky feeling, almost like anxiousnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 14, dose 1MedDRA: Dizziness, Feeling jittery, Nausea, Nervousness, Office visit, Palpitations — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Nausea Dizziness Shaky/jitteryFeeling like my heart is racing when it's notAlso this is 2 weeks after my 1st dose · Healthcare visit (other): Went to my primary and they said there was nothing they could do. And advised me not to get the second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-30
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2021-05-06
Survey response — day 28, dose 1MedDRA: Dizziness, Palpitations, Tremor — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Feeling of my heart racing has increasedLight headedDizzyShakySymptoms come and go. Sometimes lasting hours and no reason to occurMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — day 35, dose 1MedDRA: Dizziness, Dyspnoea, Office visit, Palpitations — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Shortness of breathDizziness and light headedHeart palpitations · Healthcare visit (other): Went to my doctor who refered me to a cardiologist. They have me on a heart monitor for 2 weeks. I take it off on the 24th. Also on tbe 24th i have a referel appointment to Dent NeurologicalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Report sent to call center — day 35, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-20
Survey response — day 42, dose 1MedDRA: Chest discomfort, Dizziness, Dyspnoea, Heart rate increased, Palpitations — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Light headedTightness in chestHeart palpitations Increase heart rateShort of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Report sent to call center — day 42, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-08
- 2021-10-07
- 2021-12-28
- 2022-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Felt as if my heart is racing, but heart rate is normal. Shaky feeling, almost like anxiousness
Release 7 — day 14, dose 1
Symptoms: Nausea Dizziness Shaky/jitteryFeeling like my heart is racing when it's notAlso this is 2 weeks after my 1st dose
Healthcare visit (other): Went to my primary and they said there was nothing they could do. And advised me not to get the second dose.
Release 8 — day 28, dose 1
Symptoms: Feeling of my heart racing has increasedLight headedDizzyShakySymptoms come and go. Sometimes lasting hours and no reason to occur
Release 8 — day 35, dose 1
Symptoms: Shortness of breathDizziness and light headedHeart palpitations
Healthcare visit (other): Went to my doctor who refered me to a cardiologist. They have me on a heart monitor for 2 weeks. I take it off on the 24th. Also on tbe 24th i have a referel appointment to Dent Neurological
Release 8 — day 42, dose 1
Symptoms: Light headedTightness in chestHeart palpitations Increase heart rateShort of breath
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 | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Feeling jittery | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Nervousness | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Nervousness | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release