YWF-46203-01604
1 vaccination
4 coded responses
10 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 339 / FL
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-02-18
Registered in v-safe
-
2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Fatigue or tiredness, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · DiarrheaFree text: Runny nose?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
-
2021-02-25
Survey response — day 7, dose 1MedDRA: Migraine — Feeling: Good · Headache · Be unable to do your normal daily activitiesFree text: Headache is a migraine-not covid related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-11
Survey response — day 21, dose 1MedDRA: Office visit, Pre-existing disease, Systemic lupus erythematosus — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My Lupus flared after my first injection and has become worse over the past few days. Just started Prednisone so 2nd injection on Mar 17 should be easier. · Healthcare visit (other): PCP office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-21
Survey response — 3 months, dose 1MedDRA: Bradycardia, Cardiac pacemaker insertion — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Symptoms: Electrical issue with heart. Severe Bradychardia. Had to get a pacemaker that is pacing 26% of the time. · Healthcare visit (other): Removal of Implantable Loop Recorder and implantation of a cardiac pacemaker.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-21
Report sent to call center — 3 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
- 2021-10-13
- 2022-02-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-11 | Unsuccessful | |
| 2021-05-21 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Runny nose?
Release 4 — day 7, dose 1
Systemic reaction (other): Headache is a migraine-not covid related.
Release 5 — day 21, dose 1
Symptoms: My Lupus flared after my first injection and has become worse over the past few days. Just started Prednisone so 2nd injection on Mar 17 should be easier.
Healthcare visit (other): PCP office visit
Release 8 — 3 months, dose 1
Symptoms: Electrical issue with heart. Severe Bradychardia. Had to get a pacemaker that is pacing 26% of the time.
Healthcare visit (other): Removal of Implantable Loop Recorder and implantation of a cardiac pacemaker.
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 pacemaker insertion | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Bradycardia | ✓ | ✓ | ✓ |
| SD | Cardiac pacemaker insertion | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Systemic lupus erythematosus | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release