65T-83134-09853
4 vaccinations
2 coded responses
50 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 018 / MA
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 1 — Moderna
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Diarrhea, Abdominal painAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
-
2021-03-29
Dose 2 — Moderna
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-06-28
- 2021-09-27
-
2021-11-10
Dose 3 — Moderna
-
2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-24
-
2021-12-01
Survey response — day 21, dose 3MedDRA: Heart rate increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I was wearing a Zio heart monitor the week that I got my booster shot. I learned this week that shortly after my shot my heart rate went up to 225 for several beats. 4 days later it went to 140. I have made my doctor aware. · Healthcare visit (other): Cardio dr. Is doing further testMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-02
-
2021-12-03
Call successfulCompleted over the phone
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2022-02-09
-
2022-05-25
Dose 4 — Pfizer-BioNTech
-
2022-05-26
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-05-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-05-28
- 2022-05-30
- 2022-05-31
- 2022-06-01
- 2022-06-09
- 2022-06-15
- 2022-06-22
- 2022-06-29
- 2022-07-08
-
2022-08-26
Survey response — 3 months, dose 4MedDRA: Emergency care, Heart rate increased, Supraventricular tachycardia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Went to the ER on 08/18/2022 with concerns regarding SVT (Supraventricular Tachycardia) Current medication was not working and had to be switched to lower my rapid heart beat.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-26
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-08-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-05-25 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 10 — day 21, dose 3
Symptoms: I was wearing a Zio heart monitor the week that I got my booster shot. I learned this week that shortly after my shot my heart rate went up to 225 for several beats. 4 days later it went to 140. I have made my doctor aware.
Healthcare visit (other): Cardio dr. Is doing further test
Release 12 — 3 months, dose 4
Symptoms: Went to the ER on 08/18/2022 with concerns regarding SVT (Supraventricular Tachycardia) Current medication was not working and had to be switched to lower my rapid heart beat.
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 | Emergency care | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Supraventricular tachycardia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release