65B-29405-86061
2 vaccinations
10 coded responses
13 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 078 / NJ
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
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2021-02-17
Dose 2 — Moderna
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2021-02-19
Registered in v-safe
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Atrial fibrillation — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: I have AFibMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Headache, Fatigue or tirednessFree text: Still in AFMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Atrial fibrillation — Feeling: Good · Site: Pain, Itching · Fatigue or tirednessFree text: Stil in AFibMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Atrial fibrillation — Feeling: Good · Fatigue or tirednessFree text: Still inAFub.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — day 7, dose 2MedDRA: Atrial fibrillation — Feeling: Good · Fatigue or tirednessFree text: AFibMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
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2021-03-10
Survey response — day 21, dose 2MedDRA: Cardiac disorder, Cardioversion — Feeling: FairFree text: Having s cardioversion tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — day 28, dose 2MedDRA: Atrial fibrillation, Immunisation reaction, Rash — Feeling: FairFree text: Had a cardioversion last Thursday. A Fib came back Saturday. Rash of Covid Arm came back after my bath yesterday morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 35, dose 2MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: I had cardioversion but it only was effective for two days. AFib came back.Im Still wondering if the vaccine could have put me in AFib since it started the second day after my first vaccine in January. Is a home following dude effects?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-31
Survey response — day 42, dose 2MedDRA: Atrial fibrillation, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: AFib · Healthcare visit (other): Doctor!s offi eMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-21
Survey response — 3 months, dose 2MedDRA: Atrial fibrillation, Rash, Sleep apnoea syndrome — Feeling: GoodFree text: Rash on both sides of my stomach. Sleep apnea. Still have AFibMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-18
- 2021-11-01
- 2022-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have AFib
Systemic reaction (other): Still in AF
Systemic reaction (other): Stil in AFib
Systemic reaction (other): Still inAFub.
Release 4 — day 7, dose 2
Systemic reaction (other): AFib
Release 5 — day 21, dose 2
Symptoms: Having s cardioversion tomorrow
Release 5 — day 28, dose 2
Symptoms: Had a cardioversion last Thursday. A Fib came back Saturday. Rash of Covid Arm came back after my bath yesterday morning.
Release 6 — day 35, dose 2
Symptoms: I had cardioversion but it only was effective for two days. AFib came back.Im Still wondering if the vaccine could have put me in AFib since it started the second day after my first vaccine in January. Is a home following dude effects?
Release 6 — day 42, dose 2
Release 8 — 3 months, dose 2
Symptoms: Rash on both sides of my stomach. Sleep apnea. Still have AFib
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Cardiac disorder | ✓ | · | ✓ |
| SD | Cardioversion | ○ | ✓ | ○ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Sleep apnoea syndrome | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Atrial fibrillation | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release