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
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2020-12-27
Dose 1 — Moderna
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2021-01-22
Registered in v-safe
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2021-01-22
Dose 2 — Moderna
- 2021-01-22
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2021-01-22
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: I only had the shot 14 minutes ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling · Joint painsFree 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
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2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: GoodFree text: headache yesterday. It may have not been due to the shot thoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-04
- 2021-02-06
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2021-02-14
Survey response — day 21, dose 2MedDRA: Arrhythmia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Heart arrhythmias for several hours two nights.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — day 28, dose 2MedDRA: Chest discomfort — Feeling: GoodFree 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
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2021-03-07
Survey response — day 42, dose 2MedDRA: Chest pain, Heart rate irregular — Feeling: GoodFree 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
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2021-04-23
Survey response — 3 months, dose 2MedDRA: Fatigue, Heart rate irregular — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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
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2021-04-23
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-27 | Moderna | |
| 2 | 2021-01-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-23 | Unsuccessful |
Free text
Release 2 — day 0, dose 2
Systemic reaction (other): I only had the shot 14 minutes ago.
Release 2 — days 1–6 daily, dose 2
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.
Systemic reaction (other): headache yesterday. It may have not been due to the shot though
Release 4 — day 21, dose 2
Symptoms: Heart arrhythmias for several hours two nights.
Release 4 — day 28, dose 2
Symptoms: Mild tightness in heart for a couple days this week. Very mild.
Release 5 — day 42, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arrhythmia | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release