XBL-26874-54294
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 840 / UT
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
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2020-12-28
Survey response — day 0, dose 1MedDRA: Flushing — Feeling: GoodFree text: FlushedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-30
- 2020-12-31
- 2021-01-01
-
2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Chills, Joint pains, Muscle or body achesFree text: Swollen lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2021-01-04
- 2021-01-11
- 2021-01-18
- 2021-01-25
-
2021-01-27
Dose 2 — Moderna
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2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitAdult check-in
-
2021-02-01
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
- 2021-06-15
-
2021-06-15
Call successfulParticipant prefers to complete VAERS report online
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2021-07-28
Survey response — 6 months, dose 2MedDRA: Headache, Palpitations — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Excessive headaches and continuing heart palpitations.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-28
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-02
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2022-01-27
Survey response — 12 months, dose 2MedDRA: Arrhythmia, Emergency care, Intensive care — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: I continue to have an arrhythmia since the second covid vaccine which landed me in the cardiac ICU. I have had to visit the emergency department since that time. The arrhythmia has never gone away.MedDRA releases: 2024-11 · check-in free text available
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2022-01-27
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-01-28
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2022-01-31
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-01 | Successful 2021-06-15 |
Participant prefers to complete VAERS report online |
| 2021-07-28 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2022-01-27 | Successful 2022-01-31 |
Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Flushed
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen lymph node
Systemic reaction (other): Swollen lymph node
Release 9 — 6 months, dose 2
Symptoms: Excessive headaches and continuing heart palpitations.
Release 11 — 12 months, dose 2
Symptoms: I continue to have an arrhythmia since the second covid vaccine which landed me in the cardiac ICU. I have had to visit the emergency department since that time. The arrhythmia has never gone away.
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 | Arrhythmia | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Intensive care | · | · | ✓ |
| SD | Palpitations | ✓ | · | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release