QZH-17203-38544
3 vaccinations
5 coded responses
20 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 982 / WA
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
-
2021-01-12
Survey response — day 0, dose 1MedDRA: Anxiety — Feeling: Fair · Site: PainFree text: Anxiety, rapid heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased, Heart rate irregular — Feeling: Good · Site: Pain · Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Strong heart beat for two days post vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-15
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-16
- 2021-01-17
- 2021-01-21
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Heart rate increased — Feeling: FairFree text: Increased resting heart rate by 6 bpmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Fatigue or tiredness, NauseaAdult check-in
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: Fair · Nausea, VomitingFree text: PalpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Fatigue or tiredness, NauseaAdult check-in
-
2021-02-16
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-02-25
- 2021-03-02
- 2021-03-09
- 2021-03-10
-
2021-03-10
Call successfulCompleted over the phone
- 2021-03-18
- 2021-03-23
- 2021-08-10
-
2021-12-12
Dose 3 — Moderna
- 2022-02-09
-
2022-12-12
Survey response — 12 months, dose 3MedDRA: Influenza — Feeling: Good · Be unable to work or attend schoolFree text: FluMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-12-12 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Anxiety, rapid heart rate
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Strong heart beat for two days post vaccination
Release 2 — day 14, dose 1
Symptoms: Increased resting heart rate by 6 bpm
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Palpitations
Release 12 — 12 months, dose 3
Symptoms: Flu
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 | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ○ | ✓ |
| SRO | Heart rate irregular | ○ | ✓ | ○ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release