4RY-19736-12590
4 vaccinations
5 coded responses
38 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 208 / MD
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-04-14
Survey response — day 35, single doseMedDRA: Cardiac flutter, Dizziness, Dyspnoea, Extrasystoles, Headache — Feeling: GoodFree text: Ive been feeling my heart flutter and skip beats multiple times a day for several days. Otherwise feeling fine. No dizziness, headache, SOB. I feel fine with exercise. Might be caffeine-related, but I mostly only drink decaf tea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
-
2021-06-09
Survey response — 3 months, dose 1MedDRA: Extrasystoles — Feeling: GoodFree text: Had heart skipping beats/PVCs many times a day for about 6 weeks, seem to have resolved nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-08
Survey response — 6 months, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Right hip pain- dont think its related to vaccineMedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Dose 2 — Moderna
- 2021-10-31
-
2021-11-01
Survey response — day 7, dose 2MedDRA: Chest discomfort, Extrasystoles — Feeling: GoodFree text: Occasional brief chest discomfort and skipped heartbeatMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-16
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-25
Survey response — 6 months, dose 2MedDRA: Abdominal pain, Back pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: One month of back pain and on and off abdominal pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-26
Call successfulNot applicable - Accidental Reporting
-
2022-06-23
Dose 3 — Moderna
-
2022-10-12
Dose 4 — ModernaCo-administered: Flu
-
2022-10-13
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2023-01-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-25 | Moderna | No |
| 3 | 2022-06-23 | Moderna | No |
| 4 | 2022-10-12 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 7 — day 35, single dose
Symptoms: Ive been feeling my heart flutter and skip beats multiple times a day for several days. Otherwise feeling fine. No dizziness, headache, SOB. I feel fine with exercise. Might be caffeine-related, but I mostly only drink decaf tea.
Release 8 — 3 months, dose 1
Symptoms: Had heart skipping beats/PVCs many times a day for about 6 weeks, seem to have resolved now
Release 9 — 6 months, dose 1
Symptoms: Right hip pain- dont think its related to vaccine
Release 10 — day 7, dose 2
Systemic reaction (other): Occasional brief chest discomfort and skipped heartbeat
Release 11 — 6 months, dose 2
Symptoms: One month of back pain and on and off abdominal pain.
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 | Abdominal pain | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Cardiac flutter | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Extrasystoles | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Extrasystoles | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release