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
-
2021-01-05
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-11
- 2021-01-14
-
2021-01-19
Survey response — 14 day, dose 1MedDRA: 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 visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-19
Report sent to call center — 14 day, 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)
- 2021-01-26
-
2021-02-02
Dose 2 — Moderna
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
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2021-03-02
Survey response — 28 day, dose 2MedDRA: Extrasystoles, Headache, Palpitations — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-09
Survey response — 35 day, dose 2MedDRA: Chills, Headache, Palpitations — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-18
- 2021-04-30
- 2021-05-05
-
2022-02-02
Survey response — 12 month, dose 2MedDRA: Palpitations, Unevaluable event — 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
-
2022-02-02
Report sent to call center — 12 month, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna |
Call center
| Reported | Outcome | VAERS-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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Extrasystoles | ✓ | ✓ | ✓ |
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Tachycardia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release