ZBH-23801-23972
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 836 / ID
- Registered
- 2021-01-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-01
Registered in v-safe
-
2021-01-01
Dose 1 — Moderna
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-08
- 2021-01-15
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2021-01-23
Survey response — day 21, dose 1MedDRA: Coronary artery bypass, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I just completed 4 way heart bypass surgery yesterday unrelated to COVID19. Doing exceptionally well according to doctors. Mhowever I am a little sore for 1st day after surgery.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — day 28, dose 1MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Symptoms from open heart bypass surgery.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Dose 2 — Moderna
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-18
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2021-05-04
Survey response — 3 months, dose 2MedDRA: Coronary artery bypass, Pre-existing disease — Feeling: GoodFree text: I had quadruple bypass surgery January 22, 2021. Had an excellent recovery. No adverse side effects. Not related to COVID vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-06
Survey response — 6 months, dose 2MedDRA: Breast mass, Breast swelling, Coronary artery bypass, Myocardial infarction, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: My left breast has developed a lump and is beginning to swell. Having a mammogram done in the near future.Also I had a heart attack in January about one month after the first injection. Ended up with a 4 way bypass. · Healthcare visit (other): Doctor visitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-06
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-10
- 2022-02-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-01 | Moderna | |
| 2 | 2021-02-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-06 | Unsuccessful |
Free text
Release 2 — day 21, dose 1
Symptoms: I just completed 4 way heart bypass surgery yesterday unrelated to COVID19. Doing exceptionally well according to doctors. Mhowever I am a little sore for 1st day after surgery.
Release 3 — day 28, dose 1
Symptoms: Symptoms from open heart bypass surgery.
Release 8 — 3 months, dose 2
Symptoms: I had quadruple bypass surgery January 22, 2021. Had an excellent recovery. No adverse side effects. Not related to COVID vaccine.
Release 9 — 6 months, dose 2
Symptoms: My left breast has developed a lump and is beginning to swell. Having a mammogram done in the near future.Also I had a heart attack in January about one month after the first injection. Ended up with a 4 way bypass.
Healthcare visit (other): Doctor visit
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 | Breast mass | ✓ | · | ✓ |
| SD | Breast swelling | ✓ | · | ✓ |
| SD | Coronary artery bypass | ✓ | ✓ | ✓ |
| SD | Myocardial infarction | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release