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VUM-28231-56734

2 vaccinations 5 coded responses 19 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
019 / MA
Registered
2021-01-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-05
    Dose 1 — Moderna
  2. 2021-01-09
    Registered in v-safe
  3. 2021-01-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  4. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-14
    Health check-in — 7 day, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  6. 2021-01-19
    Survey response — 14 day, dose 1
    MedDRA: Chills, Dizziness, Dyspnoea, Flushing, Office visit, Pain, Tachycardia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  7. 2021-01-19
    Report sent to call center — 14 day, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-01-26
    Health check-in — 21 day, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-02
    Dose 2 — Moderna
  10. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  12. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  16. 2021-02-09
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-16
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-02-23
    Health check-in — 21 day, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-03-02
    Survey response — 28 day, dose 2
    MedDRA: Extrasystoles, Headache, Palpitations — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  20. 2021-03-09
    Survey response — 35 day, dose 2
    MedDRA: Chills, Headache, Palpitations — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  21. 2021-03-18
    Health check-in — 42 day, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-04-30
  23. 2021-05-05
    Health check-in — 3 month, dose 2
    Feeling: Fair
    Adult check-in
  24. 2022-02-02
    Survey response — 12 month, dose 2
    MedDRA: Palpitations, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2024-11 · check-in answers available
  25. 2022-02-02
    Report sent to call center — 12 month, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  26. 2022-02-03

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna
22021-02-02Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-19 Unsuccessful
2022-02-02 Unsuccessful

Free text

Release 1

Systemic reaction (other): I had pain at the injection site on day 1 & 2 following vaccination day

Release 2

Symptoms: On day 10, had an episode of flushing, dizziness, tachycardia and SOB which lasted 15 minutes. Followed by several hours of chills and significant muscle and body aches
Healthcare visit (other): Covid respiratory clinic

Release 4

Symptoms: Palpitations (ectopic beats, intermittent, sometimes 3 or 4 per minute but more frequently after dose #2Intermittent headaches (I have never before had headaches )

Release 5

Symptoms: Headaches, occasional palpitations, sporadic chills nothing sustained

Release 11

Symptoms: Heart palpitations
Healthcare visit (other): Cardiac testing

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
HCVOUnevaluable event · · ✓
SDChills ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDExtrasystoles ✓ ✓ ✓
SDFlushing ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SDTachycardia ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release