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ZBJ-14801-00969

2 vaccinations 7 coded responses 11 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
920 / CA
Registered
2021-01-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-27
    Dose 1 — Moderna
  2. 2021-01-22
    Registered in v-safe
  3. 2021-01-22
    Dose 2 — Moderna
  4. 2021-01-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-22
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: I only had the shot 14 minutes ago.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling · Joint pains
    Free text: The day and night of the shot I felt something going through my vessels into both arms and on upper leg. It also went into my thumbs. It began 1/2 hour after the shot until the next morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: headache yesterday. It may have not been due to the shot though
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-14
    Survey response — day 21, dose 2
    MedDRA: Arrhythmia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Heart arrhythmias for several hours two nights.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-22
    Survey response — day 28, dose 2
    MedDRA: Chest discomfort — Feeling: Good
    Free text: Mild tightness in heart for a couple days this week. Very mild.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-07
    Survey response — day 42, dose 2
    MedDRA: Chest pain, Heart rate irregular — Feeling: Good
    Free text: I continue to have an occasional stronger heart beat or occasional irregular heart beat and a very mild heart pain most days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-23
    Survey response — 3 months, dose 2
    MedDRA: Fatigue, Heart rate irregular — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Continuing intermittent extra strong or at other times irregular heart beat. Some fatigue last week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-23
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2022-04-07

Vaccinations

DoseDateManufacturerCo-administered
12020-12-27Moderna
22021-01-22Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-04-23 Unsuccessful

Free text

Release 2 — day 0, dose 2

2021-01-22

Systemic reaction (other): I only had the shot 14 minutes ago.

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): The day and night of the shot I felt something going through my vessels into both arms and on upper leg. It also went into my thumbs. It began 1/2 hour after the shot until the next morning.

2021-01-27

Systemic reaction (other): headache yesterday. It may have not been due to the shot though

Release 4 — day 21, dose 2

2021-02-14

Symptoms: Heart arrhythmias for several hours two nights.

Release 4 — day 28, dose 2

2021-02-22

Symptoms: Mild tightness in heart for a couple days this week. Very mild.

Release 5 — day 42, dose 2

2021-03-07

Symptoms: I continue to have an occasional stronger heart beat or occasional irregular heart beat and a very mild heart pain most days.

Release 7 — 3 months, dose 2

2021-04-23

Symptoms: Continuing intermittent extra strong or at other times irregular heart beat. Some fatigue last week.

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

FieldPreferred term2021-092023-042024-11
SDArrhythmia ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeart rate irregular ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release