Z3D-24320-60813
3 vaccinations
7 coded responses
23 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 221 / VA
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-09
Registered in v-safe
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2021-01-09
Dose 1 — Moderna
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2021-01-09
Survey response — day 0, dose 1MedDRA: Dyspnoea, Heart rate increased — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: rapid heat rate: my heart rate quickly reached about 140/minute, my blood pressure was about > 140/90 (?), and I felt hard to breathe. After the healthy service workers let me practiced deep-breathing, I slowly got back to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate irregular — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Irregular heartbeat: my heartbeat is in range of blow 50 per minute to above 80 per minute started this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
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2021-01-23
Survey response — day 14, dose 1MedDRA: Erythema, Injection site erythema, Injection site pain, Injection site pruritus, Pain, Pruritus, Swelling — Feeling: GoodFree text: On 9th day after the vaccine, I felt itchy on the shot area and had redness. I felt pain and swollen when touched the area. The redness and itchy went away on 12th day after the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
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2021-02-06
Survey response — day 28, dose 1MedDRA: Fatigue — Feeling: GoodFree text: Last week I felt tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Dose 2 — Moderna
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I had fever 100.5FMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
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2021-08-10
Survey response — 6 months, dose 2MedDRA: Eczema, Sensitive skin, Skin disorder — Feeling: GoodFree text: I have some Skin issues. I feel my skin is more sensitive: have something like eczema on my face, neck, etc.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-22
Dose 3 — Moderna
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2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Good · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: I had rapid heart beat after shot on 10/22.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-09 | priority 2/3 |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): rapid heat rate: my heart rate quickly reached about 140/minute, my blood pressure was about > 140/90 (?), and I felt hard to breathe. After the healthy service workers let me practiced deep-breathing, I slowly got back to normal.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Irregular heartbeat: my heartbeat is in range of blow 50 per minute to above 80 per minute started this morning.
Release 2 — day 14, dose 1
Symptoms: On 9th day after the vaccine, I felt itchy on the shot area and had redness. I felt pain and swollen when touched the area. The redness and itchy went away on 12th day after the vaccine.
Release 3 — day 28, dose 1
Symptoms: Last week I felt tired.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I had fever 100.5F
Release 9 — 6 months, dose 2
Symptoms: I have some Skin issues. I feel my skin is more sensitive: have something like eczema on my face, neck, etc.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had rapid heart beat after shot on 10/22.
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 | Eczema | ✓ | · | ✓ |
| SD | Erythema | ○ | ✓ | ○ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | · | ✓ |
| SD | Injection site pain | ✓ | · | ✓ |
| SD | Injection site pruritus | ✓ | · | ✓ |
| SD | Pain | ○ | ✓ | ○ |
| SD | Pruritus | ○ | ✓ | ○ |
| SD | Sensitive skin | ✓ | · | ✓ |
| SD | Skin disorder | ✓ | · | ✓ |
| SD | Swelling | ○ | ✓ | ○ |
| SRO | Blood pressure increased | ○ | ○ | ○ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release