6EY-16876-85618
2 vaccinations
7 coded responses
18 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 982 / WA
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-06
Registered in v-safe
-
2021-02-06
Dose 1 — Moderna
- 2021-02-06
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-22
- 2021-02-27
-
2021-03-06
Dose 2 — Moderna
-
2021-03-06
Survey response — day 0, dose 2MedDRA: Anaphylactic shock, Dizziness, Heart rate increased, Immediate post-injection reaction, Throat tightness — Feeling: Fair · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activitiesFree text: I experienced mild anyphalaxis shock immediately after getting the vaccine. My heart rate significantly increased, my throat was tightening rapidly, and I felt extremely dizzy, to the point of almost feeling like I would pass out.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Vertigo — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Vertigo and dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Heart rate abnormal — Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizziness and rapid heart rate not normal for meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fast heart palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Fast heart palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-13
Survey response — day 7, dose 2MedDRA: Heart rate irregular, Palpitations — Feeling: Good · Fatigue or tirednessFree text: Still having irregular heart beats/fast palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 35, dose 2MedDRA: Palpitations — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I am still experiencing fast heart palpitations even though its been a month since my 2nd COVID dose in easy activities such as walking...I am not able to hike or exercise the same.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
- 2022-02-26
-
2022-03-18
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): I experienced mild anyphalaxis shock immediately after getting the vaccine. My heart rate significantly increased, my throat was tightening rapidly, and I felt extremely dizzy, to the point of almost feeling like I would pass out.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Vertigo and dizziness
Systemic reaction (other): Dizziness and rapid heart rate not normal for me
Systemic reaction (other): Fast heart palpitations
Systemic reaction (other): Fast heart palpitations
Release 5 — day 7, dose 2
Systemic reaction (other): Still having irregular heart beats/fast palpitations
Release 7 — day 35, dose 2
Symptoms: I am still experiencing fast heart palpitations even though its been a month since my 2nd COVID dose in easy activities such as walking...I am not able to hike or exercise the same.
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 | Palpitations | ✓ | ✓ | ✓ |
| SRO | Anaphylactic shock | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Heart rate abnormal | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release