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5ZH-30818-86011

1 vaccination 7 coded responses 10 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
993 / WA
Registered
2021-07-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-09
    Registered in v-safe
  2. 2021-07-09
    Dose 1 — Moderna
  3. 2021-07-09
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-07-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysphonia, Throat irritation — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Mild scratchy throat and hoarse voice.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-07-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cardiac murmur, Dizziness, Palpitations — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Off and on pounding heart accompanied by very brief buzzing sensation or woozy feeling.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-07-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Palpitations — Feeling: Fair · Site: Pain · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Day two of off and on pounding heart accompanied by very brief buzzing sensation or woozy feeling.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-07-12
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-07-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cardiac flutter, Dizziness, Palpitations — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Off and on pounding heart accompanied by very brief buzzing sensation or woozy feeling, occurring with less frequency today compared to prior two days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-07-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Palpitations — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Pounding heart accompanied by buzzing sensation or woozy feeling is now on a constant basis albeit slightly less intense.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-07-14
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-07-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Palpitations, Paraesthesia — Feeling: Fair · Fatigue or tiredness
    Free text: Same as yesterday...constantly pounding heart accompanied by buzzing sensation or woozy feeling.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-07-16
    Survey response — day 7, dose 1
    MedDRA: Dizziness, Palpitations, Sensory disturbance — Feeling: Fair · Fatigue or tiredness
    Free text: Continuation of constantly pounding heart accompanied by buzzing sensation or woozy feeling.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-07-21
    Call successful
    Participant prefers to complete VAERS report online
  14. 2021-07-23
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-07-30
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-09Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-10

Systemic reaction (other): Mild scratchy throat and hoarse voice.

2021-07-11

Systemic reaction (other): Off and on pounding heart accompanied by very brief buzzing sensation or woozy feeling.

2021-07-12

Systemic reaction (other): Day two of off and on pounding heart accompanied by very brief buzzing sensation or woozy feeling.

2021-07-13

Systemic reaction (other): Off and on pounding heart accompanied by very brief buzzing sensation or woozy feeling, occurring with less frequency today compared to prior two days.

2021-07-14

Systemic reaction (other): Pounding heart accompanied by buzzing sensation or woozy feeling is now on a constant basis albeit slightly less intense.

2021-07-15

Systemic reaction (other): Same as yesterday...constantly pounding heart accompanied by buzzing sensation or woozy feeling.

Release 9 — day 7, dose 1

2021-07-16

Systemic reaction (other): Continuation of constantly pounding heart accompanied by buzzing sensation or woozy feeling.

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

FieldPreferred term2021-092023-042024-11
SROCardiac flutter ✓ ✓ ✓
SROCardiac murmur ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODysphonia ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SROParaesthesia ✓ · ✓
SROSensory disturbance · · ✓
SROThroat irritation ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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