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8B8-74398-39031

2 vaccinations 3 coded responses 23 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
402 / KY
Registered
2021-06-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-11
    Dose 1 — Moderna
  2. 2021-06-12
    Registered in v-safe
  3. 2021-06-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea
    Adult check-in
  4. 2021-06-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  5. 2021-06-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-06-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-06-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-06-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-06-18
    Health check-in — day 7, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  10. 2021-06-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-07-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-07-09
    Survey response — day 28, dose 1
    MedDRA: Dyspnoea, Fatigue, Haemoptysis, Pain, Pyrexia, Unevaluable event, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Bloody cough, fever, body aches, shortness of breath, fatigue, vomiting, · Healthcare visit (other): Primary care doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-07-09
    Report sent to call center — day 28, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-07-14
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  15. 2021-07-16
    Dose 2 — Moderna
  16. 2021-07-16
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  17. 2021-07-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Palpitations — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Heart racing, pounding
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-07-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-07-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-07-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  21. 2021-07-23
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  22. 2021-07-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-01-14
    Survey response — 6 months, dose 2
    MedDRA: Atrial fibrillation, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: A season of greatly increased AFib after 1 and 2nd vaccination. · Healthcare visit (other): Holter monitor
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-01-14
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  30. 2022-01-17
  31. 2022-03-10
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-06-11Moderna
22021-07-16Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 9 — day 28, dose 1

2021-07-09

Symptoms: Bloody cough, fever, body aches, shortness of breath, fatigue, vomiting,
Healthcare visit (other): Primary care doctor

Release 9 — days 1–6 daily, dose 2

2021-07-17

Systemic reaction (other): Heart racing, pounding

Release 10 — 6 months, dose 2

2022-01-14

Symptoms: A season of greatly increased AFib after 1 and 2nd vaccination.
Healthcare visit (other): Holter monitor

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
HCVOUnevaluable event ✓ ✓ ✓
SDAtrial fibrillation · · ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHaemoptysis ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDVomiting ✓ ✓ ✓
SROPalpitations · · ✓

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