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
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
- 2020-12-23
- 2020-12-24
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2021-01-06
- 2021-01-14
-
2021-01-20
Dose 2 — Moderna
-
2021-01-27
Health check-in — day 7, dose 2Feeling: 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 activitiesAdult check-in
- 2021-02-03
-
2021-02-10
Survey response — day 21, dose 2MedDRA: Dizziness, Fatigue, Headache — Feeling: FairFree text: Headaches, some fatigue and some lightheadedness when going from sitting to standingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-24
- 2021-03-05
- 2021-04-21
-
2021-07-21
Survey response — 6 months, dose 2MedDRA: 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 visitFree 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 CardiologistMedDRA releases: 2024-11 · check-in free text available
-
2021-07-21
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-23
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-21 | Successful 2021-07-23 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — day 21, dose 2
Symptoms: Headaches, some fatigue and some lightheadedness when going from sitting to standing
Release 9 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Electrocardiogram ambulatory abnormal | · | · | ✓ |
| SD | Extrasystoles | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Ventricular extrasystoles | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release