6GP-13861-68241
4 vaccinations
8 coded responses
29 check-ins
8 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 432 / OH
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Moderna
-
2021-03-11
Registered in v-safe
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: A bit lightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-16
- 2021-03-19
- 2021-03-24
- 2021-04-02
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
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2021-04-28
Survey response — day 21, dose 2MedDRA: Atrial fibrillation, Palpitations — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Have had increased palpitations and afib lately. Likely due to factors other than vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — day 28, dose 2MedDRA: Blood pressure fluctuation, Heart rate irregular, Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: Bad afibNauseaDiarrhea (which is not new, an ongoing issue)BP and heart rate fluctuationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-14
- 2021-05-19
- 2021-07-07
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2021-10-06
Survey response — 6 months, dose 2MedDRA: Atrial fibrillation, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Increase in afib events. Having heart ablation end of the month. · Healthcare visit (other): Cardiologist and then a electro cardio specialistMedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-07
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2021-10-22
Dose 3 — Moderna
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2022-04-07
Dose 4 — Moderna
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2022-04-07
Survey response — 12 months, dose 2MedDRA: Asthma, Sarcoidosis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sarcoidosis- lymphatic, wide spread mostly chest area. Now have disease induced asthma. Been on Prednisone since 11/21MedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Survey response — day 21, dose 4MedDRA: Asthma, Sarcoidosis, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Sarcoidosis Disease Induced Asthma · Healthcare visit (other): Outpatient biopsyMedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Report sent to call center — day 21, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-02
- 2022-05-08
- 2022-05-12
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2022-05-19
Survey response — day 42, dose 4MedDRA: Office visit, SARS-CoV-2 test negative, Sarcoidosis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Sarcoid was diagnosed Thanksgiving'21. Have been on prednisone and other meds since then. Have slowly improved but feeling worse past several days. Did COVID home test today - neg. BTW- when you call, if the # was IDd I'd answer it if I could. · Healthcare visit (other): Saw sarcoid doc shortly before I started to feel worse for a scheduled appt. Saw cardiologist a few days ago for scheduled appt and cardio seems ok.MedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-20
- 2022-07-07
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
Call center
4 call center cases
4 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): A bit lightheaded
Systemic reaction (other): Light headed
Release 8 — day 21, dose 2
Symptoms: Have had increased palpitations and afib lately. Likely due to factors other than vaccine.
Release 8 — day 28, dose 2
Symptoms: Bad afibNauseaDiarrhea (which is not new, an ongoing issue)BP and heart rate fluctuations
Release 10 — 6 months, dose 2
Symptoms: Increase in afib events. Having heart ablation end of the month.
Healthcare visit (other): Cardiologist and then a electro cardio specialist
Release 11 — 12 months, dose 2
Symptoms: Sarcoidosis- lymphatic, wide spread mostly chest area. Now have disease induced asthma. Been on Prednisone since 11/21
Release 11 — day 21, dose 4
Release 11 — day 42, dose 4
Symptoms: Sarcoid was diagnosed Thanksgiving'21. Have been on prednisone and other meds since then. Have slowly improved but feeling worse past several days. Did COVID home test today - neg. BTW- when you call, if the # was IDd I'd answer it if I could.
Healthcare visit (other): Saw sarcoid doc shortly before I started to feel worse for a scheduled appt. Saw cardiologist a few days ago for scheduled appt and cardio seems ok.
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 | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Blood pressure fluctuation | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sarcoidosis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release