ZEP-16392-06449
3 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 707 / LA
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-29
Registered in v-safe
-
2021-01-29
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-05
- 2021-02-10
- 2021-02-17
-
2021-02-23
Dose 2 — Moderna
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Arrhythmia, Dizziness, Hypotension — Feeling: Poor · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Heart arhthmia worsened and bp low, felt faint this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
-
2021-03-16
Survey response — day 21, dose 2MedDRA: Heart rate irregular — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe heart beat irregularitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-25
-
2021-03-30
Survey response — day 35, dose 2MedDRA: Oropharyngeal pain — Feeling: FairFree text: I have a sore throat. Likely allergy related as the oaks are dropping pollen. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-05-25
- 2021-08-24
-
2022-02-14
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-02-25
- 2022-02-28
- 2022-03-03
-
2022-03-09
Survey response — day 21, dose 3MedDRA: Blood pressure increased, Exposure to communicable disease, Headache, Nasopharyngitis, Palpitations — Feeling: PoorFree text: More heart palipations. Blood pressure high and headaches. Last week Contracted a cold from someone who said they didn't have covid and was dx with tonsillitis, so I did not go to the doctor and never have had fever this last week.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-19
- 2022-03-22
- 2022-03-28
- 2022-08-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2022-02-14 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-16 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Heart arhthmia worsened and bp low, felt faint this morning
Release 5 — day 21, dose 2
Symptoms: Severe heart beat irregularities
Release 6 — day 35, dose 2
Symptoms: I have a sore throat. Likely allergy related as the oaks are dropping pollen. No fever.
Release 11 — day 21, dose 3
Symptoms: More heart palipations. Blood pressure high and headaches. Last week Contracted a cold from someone who said they didn't have covid and was dx with tonsillitis, so I did not go to the doctor and never have had fever this 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 | Blood pressure increased | · | · | ✓ |
| SD | Exposure to communicable disease | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate irregular | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SRO | Arrhythmia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hypotension | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release