CSQ-27252-11885
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 985 / WA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate irregular — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Irregular heartbeatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-07
-
2021-01-12
Survey response — day 14, dose 1MedDRA: Chest discomfort, Rhinorrhoea — Feeling: FairFree text: Runny nose, tightness in chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
-
2021-01-26
Dose 2 — Moderna
-
2021-02-02
Survey response — day 7, dose 2MedDRA: Chest pain, Heart rate increased — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chest pain and accelerated heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-11
- 2021-04-27
- 2021-06-16
- 2021-07-30
-
2022-01-26
Survey response — 12 months, dose 2MedDRA: Caesarean section — 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 visit, Emergency room or emergency department visit, HospitalizationFree text: C sectionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-26
Report sent to call center — 12 months, dose 2Be 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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-01-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Irregular heartbeat
Release 1 — day 14, dose 1
Symptoms: Runny nose, tightness in chest
Release 3 — day 7, dose 2
Systemic reaction (other): Chest pain and accelerated heart rate
Release 11 — 12 months, dose 2
Symptoms: C section
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 | Caesarean section | · | · | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release