Z6X-32542-84602
4 vaccinations
7 coded responses
51 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 481 / MI
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-23
- 2021-01-30
-
2021-02-06
Dose 2 — Moderna
-
2021-02-06
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body achesAdult check-in
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
-
2021-02-13
Health check-in — day 7, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-20
- 2021-03-01
-
2021-03-06
Survey response — day 28, dose 2MedDRA: Atrial fibrillation, Extrasystoles, Fatigue, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Heart palpitations, exhausted, skipped heart beats.Diagnosed atrial fibrillation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-13
Survey response — day 35, dose 2MedDRA: Atrial fibrillation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: AfibMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-20
- 2021-05-08
- 2021-08-07
-
2021-10-26
Dose 3 — Moderna
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling in armpit of the arm I received my vaccine.MedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Site: ItchingFree text: Tenderness and slight swelling in armpit.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
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2021-11-09
Survey response — day 14, dose 3MedDRA: Atrial fibrillation — Feeling: Good · Be unable to do your normal daily activitiesFree text: I experienced a 3 hour episode of afib this past week. Two weeks after my 2nd dose I experienced afib for the first time. Now once again after my booster. I'm concerned it may be connected to the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
- 2021-11-16
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2021-11-25
Survey response — day 28, dose 3MedDRA: Atrial fibrillation — Feeling: GoodFree text: Afib has reoccurred this week lasting a day.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
- 2021-12-07
- 2022-01-26
- 2022-04-26
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2022-07-14
Dose 4 — Moderna
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2022-07-15
Survey response — days 1–6 daily, dose 4MedDRA: Atrial fibrillation, Extrasystoles, Heart rate increased, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: I went into AFib 5 hours after my 2nd booster. This was my most concerning episode to date. Rapid heart rate and beat, beat, skip, beat beat, skip. My first Afib happened one month after my 2nd vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-16
- 2022-07-17
- 2022-07-19
- 2022-07-20
- 2022-07-23
- 2022-07-28
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2023-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-07-14 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-06 | Unsuccessful | |
| 2021-03-13 | Unsuccessful |
Free text
Release 5 — day 28, dose 2
Symptoms: Heart palpitations, exhausted, skipped heart beats.Diagnosed atrial fibrillation.
Release 5 — day 35, dose 2
Symptoms: Afib
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling in armpit of the arm I received my vaccine.
Systemic reaction (other): Tenderness and slight swelling in armpit.
Release 10 — day 14, dose 3
Symptoms: I experienced a 3 hour episode of afib this past week. Two weeks after my 2nd dose I experienced afib for the first time. Now once again after my booster. I'm concerned it may be connected to the vaccine.
Release 10 — day 28, dose 3
Symptoms: Afib has reoccurred this week lasting a day.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I went into AFib 5 hours after my 2nd booster. This was my most concerning episode to date. Rapid heart rate and beat, beat, skip, beat beat, skip. My first Afib happened one month after my 2nd vaccine.
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 | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Extrasystoles | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SRO | Atrial fibrillation | · | · | ✓ |
| SRO | Extrasystoles | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release