YVM-13680-50563
5 vaccinations
9 coded responses
35 check-ins
9 free-text entries
6 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 223 / VA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-22
- 2021-01-23
- 2021-01-30
- 2021-02-06
-
2021-02-13
Dose 2 — Moderna
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-07
- 2021-03-13
- 2021-03-21
- 2021-03-27
-
2021-05-15
Survey response — 3 months, dose 2MedDRA: Myocardial infarction — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Very minor myocardial infarct. You'll have to ask me. I think surgeon suspending aspirin was causal. Try proving that! In any case not due to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-14
-
2021-11-09
Dose 3 — Moderna
- 2022-02-11
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2022-02-13
Survey response — 12 months, dose 2MedDRA: Blood pressure increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Allergic? Reaction to medicine (lisinopril) leading to suspension of that med & consequent BP elevation. (TMI?)MedDRA releases: 2024-11 · check-in free text available
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2022-02-13
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-16
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2022-04-05
Dose 4 — Moderna
- 2022-04-27
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2022-05-03
Survey response — day 28, dose 4MedDRA: Dysphonia, Oropharyngeal pain — Feeling: FairFree text: Sore throat. Hoarse. No fever.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-10
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2022-05-17
Survey response — day 42, dose 4MedDRA: Asthenia, Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Shortness of breath, weaknessMedDRA releases: 2024-11 · check-in free text available
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2022-05-17
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-18
- 2022-05-18
- 2022-05-18
-
2022-05-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-05-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-07-05
Survey response — 3 months, dose 4MedDRA: Chest pain, Dyspnoea, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Occasional difficulty catching my breath, chest pain... it's something for cardiolo · Healthcare visit (other): Radiologic stress testMedDRA releases: 2024-11 · check-in free text available
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2022-07-05
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-06
- 2022-07-06
- 2022-07-06
- 2022-07-06
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2022-10-04
Survey response — 6 months, dose 4MedDRA: Arthralgia, Chest pain, Dyspnoea, Pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: shortness of breath, chest pain, pain radiating to shoulders, ... · Healthcare visit (other): cardiac cathMedDRA releases: 2024-11 · check-in free text available
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2022-10-04
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-05
- 2022-10-05
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2022-10-19
Dose 5 — Moderna
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2022-11-11
Survey response — day 21, dose 5MedDRA: Dyspnoea — Feeling: FairFree text: Sjortness of breathMedDRA releases: 2024-11 · check-in free text available
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2022-11-16
Survey response — day 28, dose 5MedDRA: Angina pectoris, Angina unstable — Feeling: GoodFree text: Stable & unstable anginaMedDRA releases: 2024-11 · check-in free text available
- 2022-11-24
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2022-11-30
Survey response — day 42, dose 5MedDRA: Angina pectoris, Cardiac rehabilitation therapy, Coronary artery disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Angina/cad is not in control · Healthcare visit (other): Cardiac rehab. Med calibration...MedDRA releases: 2024-11 · check-in free text available
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2022-11-30
Report sent to call center — day 42, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-01
- 2022-12-01
- 2022-12-01
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
| 5 | 2022-10-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-15 | Successful 2022-05-19 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-02-13 | Successful 2022-05-19 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-17 | Successful 2022-05-19 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-05 | Unsuccessful | |
| 2022-10-04 | Unsuccessful | |
| 2022-11-30 | Unsuccessful |
Free text
Release 8 — 3 months, dose 2
Symptoms: Very minor myocardial infarct. You'll have to ask me. I think surgeon suspending aspirin was causal. Try proving that! In any case not due to vaccine.
Release 11 — 12 months, dose 2
Symptoms: Allergic? Reaction to medicine (lisinopril) leading to suspension of that med & consequent BP elevation. (TMI?)
Release 11 — day 28, dose 4
Symptoms: Sore throat. Hoarse. No fever.
Release 11 — day 42, dose 4
Symptoms: Shortness of breath, weakness
Release 12 — 3 months, dose 4
Symptoms: Occasional difficulty catching my breath, chest pain... it's something for cardiolo
Healthcare visit (other): Radiologic stress test
Release 12 — 6 months, dose 4
Symptoms: shortness of breath, chest pain, pain radiating to shoulders, ...
Healthcare visit (other): cardiac cath
Release 12 — day 21, dose 5
Symptoms: Sjortness of breath
Release 12 — day 28, dose 5
Symptoms: Stable & unstable angina
Release 12 — day 42, dose 5
Symptoms: Angina/cad is not in control
Healthcare visit (other): Cardiac rehab. Med calibration...
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 | Cardiac rehabilitation therapy | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Angina pectoris | · | · | ✓ |
| SD | Angina unstable | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Coronary artery disease | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Myocardial infarction | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release