Z2M-26673-11674
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-13
- 2021-02-14
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-16
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-18
-
2021-02-25
Survey response — day 14, dose 2MedDRA: Atrial fibrillation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have been diagnosed with atrial fibrillationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — day 21, dose 2MedDRA: Atrial fibrillation, Dyspnoea, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I Feb 2012, developed blood cot in leg. Sitting too much during Covid. The developed a-fib w/ SOB. Having cardioversion done tomorrow at Emory. · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-11
Survey response — day 28, dose 2MedDRA: Atrial fibrillation, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have seen a cardiologist about a-fib and SOB.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
-
2021-05-15
Survey response — 3 months, dose 2MedDRA: Thrombosis — Feeling: Good · Be unable to do your normal daily activitiesFree text: In November I developed a blood clot in my right leg because I sat so much during Covid. Im taking a blood thinner. Later I developed a-fib, which is being treated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-12
- 2022-02-02
-
2022-02-03
Call successfulParticipant prefers to complete VAERS report online
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-04 | Successful 2022-02-03 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — day 14, dose 2
Symptoms: I have been diagnosed with atrial fibrillation
Release 5 — day 21, dose 2
Symptoms: I Feb 2012, developed blood cot in leg. Sitting too much during Covid. The developed a-fib w/ SOB. Having cardioversion done tomorrow at Emory.
Healthcare visit (other): Office visit
Release 5 — day 28, dose 2
Symptoms: I have seen a cardiologist about a-fib and SOB.
Release 8 — 3 months, dose 2
Symptoms: In November I developed a blood clot in my right leg because I sat so much during Covid. Im taking a blood thinner. Later I developed a-fib, which is being treated.
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 | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Thrombosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release