Z7G-24429-79468
2 vaccinations
6 coded responses
16 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 076 / NJ
- Registered
- 2021-01-05
- Relationship
- Self
Timeline
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2020-12-31
Dose 1 — Moderna
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2021-01-05
Registered in v-safe
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-14
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2021-01-21
Survey response — day 21, dose 1MedDRA: Arrhythmia, Atrial fibrillation — Feeling: GoodFree text: Increased atrial fibrillation. I'm medicated for the condition, but I've been breaking through with intermittent bouts of arrythmia. Nothing that was serious at all in any way, more annoying than anything, but I'm totally fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Dose 2 — Moderna
- 2021-01-28
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: FeverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
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2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Arrhythmia, Condition aggravated, Pre-existing disease — Feeling: FairFree text: Arrythmia heart- I already have a-fib it's aggravated today and last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — day 7, dose 2MedDRA: Arrhythmia, Atrial fibrillation — Feeling: GoodFree text: Heart arrhythmia very mild A-FibMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
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2021-02-18
Survey response — day 21, dose 2MedDRA: Atrial fibrillation — Feeling: FairFree text: Arrythmia atrial fibrillation almost dailyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — day 35, dose 2MedDRA: Atrial fibrillation — Feeling: FairFree text: A fib that has been constantly intermittent since the second vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Free text
Release 2 — day 21, dose 1
Symptoms: Increased atrial fibrillation. I'm medicated for the condition, but I've been breaking through with intermittent bouts of arrythmia. Nothing that was serious at all in any way, more annoying than anything, but I'm totally fine.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Fever
Systemic reaction (other): Arrythmia heart- I already have a-fib it's aggravated today and last night
Release 3 — day 7, dose 2
Systemic reaction (other): Heart arrhythmia very mild A-Fib
Release 4 — day 21, dose 2
Symptoms: Arrythmia atrial fibrillation almost daily
Release 5 — day 35, dose 2
Symptoms: A fib that has been constantly intermittent since the second 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 | Arrhythmia | ✓ | ✓ | ✓ |
| SD | Atrial fibrillation | ✓ | ✓ | ✓ |
| SRO | Arrhythmia | ✓ | ✓ | ✓ |
| SRO | Atrial fibrillation | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release