4LG-19093-27678
2 vaccinations
6 coded responses
18 check-ins
6 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 780 / TX
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-31
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
-
2021-02-14
Survey response — day 14, dose 1MedDRA: Dizziness, Dyspnoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Dizziness and shortness of bresthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
-
2021-02-28
Dose 2 — Moderna
-
2021-03-07
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-14
- 2021-03-21
-
2021-03-28
Survey response — day 28, dose 2MedDRA: Atrial fibrillation, Dizziness, Dyspnoea, Syncope — 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 visit, Emergency room or emergency department visitFree text: Shortness of breath, dizziness and fainting and diagnosed with AFib. Currently wearing a heart monitor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-04
Survey response — day 35, dose 2MedDRA: Dizziness, Hyperventilation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still having trouble getting enough air (breathing hard). Also get a little dizzy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
-
2021-05-30
Survey response — 3 months, dose 2MedDRA: Atrial fibrillation — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Atrial fibulationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-30
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-29
Survey response — 6 months, dose 2MedDRA: Atrial fibrillation, Cardiac ablation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: AFib resulting in a cardiac ablationMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-29
Report sent to call center — 6 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 pr1 call case(s)
- 2021-08-31
-
2022-02-28
Survey response — 12 months, dose 2MedDRA: Atrial fibrillation, Cardioversion, Dyspnoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: I was experiencing shortness of breath due to atrial fabulation. I had to undergo a shock treatment in order to get the heart beating in a normal fashionMedDRA releases: 2024-11 · check-in free text available
-
2022-02-28
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 prHospitalization · 1 call case(s)
-
2022-03-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Moderna | |
| 2 | 2021-02-28 | Moderna |
Call center
4 call center cases
4 successful
Free text
Release 4 — day 14, dose 1
Symptoms: Dizziness and shortness of bresth
Release 6 — day 28, dose 2
Symptoms: Shortness of breath, dizziness and fainting and diagnosed with AFib. Currently wearing a heart monitor.
Release 6 — day 35, dose 2
Symptoms: Still having trouble getting enough air (breathing hard). Also get a little dizzy.
Release 8 — 3 months, dose 2
Symptoms: Atrial fibulation
Release 9 — 6 months, dose 2
Symptoms: AFib resulting in a cardiac ablation
Release 11 — 12 months, dose 2
Symptoms: I was experiencing shortness of breath due to atrial fabulation. I had to undergo a shock treatment in order to get the heart beating in a normal fashion
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 |
|---|---|---|---|---|
| SD | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Cardiac ablation | ✓ | · | ✓ |
| SD | Cardioversion | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Hyperventilation | ✓ | ✓ | ✓ |
| SD | Syncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release