T2L-18120-05430
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 410 / KY
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-13
-
2021-01-20
Survey response — day 21, dose 1MedDRA: Supraventricular tachycardia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Supraventricular TachycardiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-20
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-27
Survey response — day 28, dose 1MedDRA: Supraventricular tachycardia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Supraventricular tachycardiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-28
Dose 2 — Moderna
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-13
- 2021-02-18
-
2021-02-19
Call successfulParticipant prefers to complete VAERS report online
- 2021-02-25
-
2021-03-04
Survey response — day 35, dose 2MedDRA: Supraventricular tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: SVTMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-11
- 2021-03-13
- 2021-03-15
-
2021-03-15
Callback requested for6:30pm
- 2021-05-01
- 2022-01-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 2 — day 21, dose 1
Symptoms: Supraventricular Tachycardia
Release 2 — day 28, dose 1
Symptoms: Supraventricular tachycardia
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Congestion
Release 5 — day 35, dose 2
Symptoms: SVT
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 | Supraventricular tachycardia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release