4G2-18683-00300
5 vaccinations
5 coded responses
67 check-ins
4 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 435 / OH
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Registered in v-safe
-
2021-02-12
Dose 1 — Moderna
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Some dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-21
- 2021-03-26
- 2021-04-05
-
2021-04-09
Survey response — day 28, dose 2MedDRA: Atrial fibrillation, Blood pressure abnormal, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: A-Fib / blood pressure problem got worse this past week. As these were giving me problems in January, not connecting it in any way with the vaccine. · Healthcare visit (other): Called the Cardiologist and talked to his nurse, who the called me back with instructionsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-16
- 2021-04-23
- 2021-09-14
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-29
- 2022-02-16
-
2022-04-06
Dose 4 — Moderna
- 2022-04-06
- 2022-04-07
- 2022-04-08
- 2022-04-09
- 2022-04-10
- 2022-04-11
- 2022-04-12
- 2022-04-13
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-20
-
2022-07-07
Survey response — 3 months, dose 4MedDRA: Bronchitis, Pneumonia — Feeling: Good · 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: Bronchitis/Pnuemonia last half of May, first half of JuneMedDRA releases: 2024-11 · check-in free text available
-
2022-07-07
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-08
- 2022-07-08
-
2022-07-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-06
-
2022-10-22
Dose 5 — Pfizer-BioNTech
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-10-27
- 2022-10-28
- 2022-10-30
-
2022-11-05
Survey response — day 14, dose 5MedDRA: Atrial fibrillation, Heart rate increased, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: AFIB is more erratic, pulse starts racing for no reason. Hit 150 the other day while watching TV. AFIB problems after the 4th booster but did not connect it to the shot. Both have happened around 7-10 days after the shot. Also this shot was Pfizer. · Healthcare visit (other): Cardiologist next morningMedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Report sent to call center — day 14, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-11-07
Call successfulParticipant prefers to complete VAERS report online
- 2022-11-16
- 2022-11-19
- 2022-11-26
- 2022-12-05
- 2023-01-22
-
2023-04-27
Survey response — 6 months, dose 5MedDRA: COVID-19, Cerebral haemorrhage, Emergency care, Hospitalisation, Intensive care, Loss of consciousness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
-
2023-04-27
Report sent to call center — 6 months, dose 5Be 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)
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-10-22 | Pfizer-BioNTech | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Some dizziness
Release 7 — day 28, dose 2
Symptoms: A-Fib / blood pressure problem got worse this past week. As these were giving me problems in January, not connecting it in any way with the vaccine.
Healthcare visit (other): Called the Cardiologist and talked to his nurse, who the called me back with instructions
Release 12 — 3 months, dose 4
Symptoms: Bronchitis/Pnuemonia last half of May, first half of June
Release 12 — day 14, dose 5
Symptoms: AFIB is more erratic, pulse starts racing for no reason. Hit 150 the other day while watching TV. AFIB problems after the 4th booster but did not connect it to the shot. Both have happened around 7-10 days after the shot. Also this shot was Pfizer. cut off by CDC
Healthcare visit (other): Cardiologist next morning
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Blood pressure abnormal | ✓ | ✓ | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cerebral haemorrhage | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Intensive care | · | · | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release