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W76-32995-94652

2 vaccinations 2 coded responses 17 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
481 / MI
Registered
2020-12-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-23
    Registered in v-safe
  2. 2020-12-23
    Dose 1 — Moderna
  3. 2020-12-23
    Health check-in — day 0, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2020-12-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2020-12-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-06
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-01-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-20
    Dose 2 — Moderna
  13. 2021-01-27
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-03
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-02-10
    Survey response — day 21, dose 2
    MedDRA: Dizziness, Fatigue, Headache — Feeling: Fair
    Free text: Headaches, some fatigue and some lightheadedness when going from sitting to standing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-21
    Survey response — 6 months, dose 2
    MedDRA: Dizziness, Electrocardiogram ambulatory abnormal, Extrasystoles, Fatigue, Office visit, Ventricular extrasystoles — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: Frequent PVCs my 24 hour holter shows 831 runs of trigemeny and 11% burden Echo and stress test are normalcausing exhaustion, lightheadedness, dizziness · Healthcare visit (other): And follow up with Primary and Cardiologist
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-07-21
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-07-23
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-20Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-07-21 Successful
2021-07-23
Participant prefers to complete VAERS report online

Free text

Release 4 — day 21, dose 2

2021-02-10

Symptoms: Headaches, some fatigue and some lightheadedness when going from sitting to standing

Release 9 — 6 months, dose 2

2021-07-21

Symptoms: Frequent PVCs my 24 hour holter shows 831 runs of trigemeny and 11% burden Echo and stress test are normalcausing exhaustion, lightheadedness, dizziness
Healthcare visit (other): And follow up with Primary and Cardiologist

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDDizziness ✓ ✓ ✓
SDElectrocardiogram ambulatory abnormal · · ✓
SDExtrasystoles · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDVentricular extrasystoles · · ✓

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