3DJ-80809-82674
4 vaccinations
4 coded responses
34 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 981 / WA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
-
2021-01-25
Registered in v-safe
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Palpitations, Pre-existing disease — Feeling: GoodFree text: Some morning ~faintness, slight dizziness. More heart palpitations than usual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-02-02
- 2021-02-09
-
2021-02-16
Dose 2 — Moderna
- 2021-02-16
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Chills, Fatigue or tirednessAdult check-in
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-04
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-05-18
-
2021-08-19
Survey response — 6 months, dose 2MedDRA: Neurological symptom, Office visit, Tremor — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Increased finger tremors and other sx that make me suspect I have Parkinson's. · Healthcare visit (other): Office visit with PCP to get referral to a neurologist.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
-
2021-08-25
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-22
Dose 3 — Moderna
- 2021-10-24
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-03-31
Dose 4 — Moderna
-
2022-04-22
Survey response — 6 months, dose 3MedDRA: Chills, Fatigue, Lower respiratory tract infection, Productive cough — Feeling: FairFree text: Chest cold. Productive cough. Sometimes mildly chilled. Tired. Home self-test = antigen rapid test negative (as expected) 2 days ago. Rec'd 2nd Moderna booster = 4th shot 3/31/22.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-30
-
2022-09-29
Survey response — 6 months, dose 4MedDRA: Atrial fibrillation, Emergency care, Haematemesis, Heart rate increased, Office visit, Presyncope — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: 1. Hematemesis. Endoscopy 2 wks later: later negative. Atributed to use PRN meloxicam 7.5 mg. 2. Very rapid heart rate and repeated near fainting epidodes. A fib Dx'd and Rx'd with blood thinner. · Healthcare visit (other): Office of my cardiologist for the rapid rate. They transported me to ER after some evaluation.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-29
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-09-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-03-31 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Some morning ~faintness, slight dizziness. More heart palpitations than usual.
Release 9 — 6 months, dose 2
Symptoms: Increased finger tremors and other sx that make me suspect I have Parkinson's.
Healthcare visit (other): Office visit with PCP to get referral to a neurologist.
Release 11 — 6 months, dose 3
Symptoms: Chest cold. Productive cough. Sometimes mildly chilled. Tired. Home self-test = antigen rapid test negative (as expected) 2 days ago. Rec'd 2nd Moderna booster = 4th shot 3/31/22.
Release 12 — 6 months, dose 4
Symptoms: 1. Hematemesis. Endoscopy 2 wks later: later negative. Atributed to use PRN meloxicam 7.5 mg. 2. Very rapid heart rate and repeated near fainting epidodes. A fib Dx'd and Rx'd with blood thinner.
Healthcare visit (other): Office of my cardiologist for the rapid rate. They transported me to ER after some evaluation.
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 | Emergency care | · | · | ✓ |
| HCVO | Heart rate increased | · | · | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Haematemesis | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Neurological symptom | ✓ | · | ✓ |
| SD | Presyncope | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Tremor | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release