R58-23843-34427
1 vaccination
3 coded responses
10 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 430 / OH
- Registered
- 2022-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-02-15
Registered in v-safe
-
2022-02-15
Dose 1 — Moderna
- 2022-02-15
-
2022-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2022-02-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-02-19
- 2022-02-21
- 2022-02-22
-
2022-03-01
Survey response — day 14, dose 1MedDRA: Headache, Unevaluable event, Visual impairment — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Days 7-9 kept having issues with blood dropping to 60 and not being able to bring it up by normal means. I've never been diabetic. White in vision/vision disturbances, headache very severe.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-17
-
2022-08-16
Survey response — 6 months, dose 1MedDRA: Condition aggravated, Hypertension, Office visit, Palpitations, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Heart palpitations and high blood pressure. Had a random flutter before vaccines maybe once a month or less. Since receiving it the flutter/palpitations have become a daily thing. · Healthcare visit (other): In person visit and 30 day holter monitorMedDRA releases: 2024-11 · check-in free text available
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2022-08-16
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2022-08-17
-
2022-08-17
Call successfulParticipant prefers to complete VAERS report online
-
2023-02-16
Survey response — 12 months, dose 1MedDRA: Abortion spontaneous, Failed in vitro fertilisation, In vitro fertilisation, Infertility, Office visit, Pregnancy — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-02-16
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2023-02-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-02-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-16 | Successful 2022-08-17 |
Participant prefers to complete VAERS report online |
| 2023-02-16 | Unsuccessful |
Free text
Release 11 — day 14, dose 1
Symptoms: Days 7-9 kept having issues with blood dropping to 60 and not being able to bring it up by normal means. I've never been diabetic. White in vision/vision disturbances, headache very severe.
Release 12 — 6 months, dose 1
Symptoms: Heart palpitations and high blood pressure. Had a random flutter before vaccines maybe once a month or less. Since receiving it the flutter/palpitations have become a daily thing.
Healthcare visit (other): In person visit and 30 day 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Failed in vitro fertilisation | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | In vitro fertilisation | · | · | ✓ |
| SD | Infertility | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release