XYU-22045-67600
1 vaccination
1 coded response
1 check-in
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 658 / MO
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Moderna
-
2021-03-26
Registered in v-safe
-
2021-03-26
Survey response — 21 day, dose 1MedDRA: Abnormal sensation in eye, Dizziness, Dyspnoea, Heart rate increased, Induration, Ocular hyperaemia, Office visit, Rhinorrhoea, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-26
Report sent to call center — 21 day, dose 1Get care from a doctor or other healthcare professionalno matching call case
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|
1 report(s) with no call case — see the timeline.
Free text
Release 6
Symptoms: On the day I had my shot I experienced rapid heart beat,dizziness and short of breath twice while waiting there for half an hour. Then two weeks later I experienced runny nose, watering eyes, rednessvof eye and a large hard welt on my vaccinated arm cut off by CDC
Healthcare visit (other): I had a yearly exam with my heart doctor today and he recommended I should skip the 2nd shot. I will see my family doctor on coming Monday to talk to him also.
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 | ✓ | ✓ | ✓ |
| SD | Abnormal sensation in eye | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Induration | ✓ | ✓ | ✓ |
| SD | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release