NVH-32007-28523
3 vaccinations
4 coded responses
31 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 329 / FL
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-01
-
2021-10-23
Dose 3 — Moderna
-
2021-10-30
Survey response — 7 day, dose 3MedDRA: Arrhythmia — Feeling: Fair · Site: Redness · Fever · Muscle or body aches, Fatigue or tiredness, NauseaMedDRA releases: 2024-11 · check-in answers available
- 2021-11-06
-
2021-11-13
Survey response — 21 day, dose 3MedDRA: Atrial fibrillation — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2021-11-20
Survey response — 28 day, dose 3MedDRA: Adverse reaction, Cardiac disorder, Medical counselling, Myocarditis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2021-11-20
Report sent to call center — 28 day, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-11-27
Survey response — 35 day, dose 3MedDRA: Cardiac disorder, Electrocardiogram abnormal, Extrasystoles, Office visit — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2021-12-02
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-23
- 2022-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-20 | Successful 2021-12-02 |
Participant prefers to complete VAERS report online |
Free text
Release 10
Systemic reaction (other): Heart aritmia
Symptoms: Still have occasional heart afib after my booster never happened before
Symptoms: I am having issues with myocarditis and other heart issues my doctor told me it's likely to resolve itself but is a side effect of the Covid vaccine You should be honest with people
Symptoms: Continue to have heart issues with ectopic readings on my Kardia device my doctor say it's a common side effect the only reason I knew I had it was because I monitor on a regular basis
Free-text releases are not linked to a specific 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 | Adverse reaction | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Electrocardiogram abnormal | · | · | ✓ |
| SD | Extrasystoles | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Myocarditis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Arrhythmia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release