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ZFA-54497-88382

2 vaccinations 4 coded responses 7 check-ins 4 free-text entries 4 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
946 / CA
Registered
2021-03-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-25
    Dose 1 — Moderna
  2. 2021-02-22
    Dose 2 — Moderna
  3. 2021-03-18
    Registered in v-safe
  4. 2021-03-18
    Survey response — day 21, dose 2
    MedDRA: Blood test, Chest discomfort, Decreased appetite, Fatigue, Medical counselling, Nausea, Pain, Palpitations — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Symptoms: I have felt somewhat nauseous, achy and fatigued off and on since the vaccine. I have not been able to exercise or eat normally. I started having heart palpitations and some chest pressure last week that has not stopped · Healthcare visit (other): Blood tests, emails to doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-18
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-03-22
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  7. 2021-03-29
    Survey response — day 35, dose 2
    MedDRA: Abdominal discomfort, Nausea, Palpitations, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Stomach upset, nausea, heart palpitations · Healthcare visit (other): Holter monitor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-29
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-04-05
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-05-26
    Survey response — 3 months, dose 2
    MedDRA: Abdominal discomfort, Abdominal pain upper, Nausea — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Stomach/gut upset and pain and nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-26
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-08-23
    Survey response — 6 months, dose 2
    MedDRA: Exercise tolerance decreased, Fatigue, Palpitations, Taste disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Continued on and off heart palpitations, fatigue, decreased exercise tolerance, change in taste that is slowly getting better
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-08-23
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-08-24
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  15. 2022-02-22
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-22Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-03-18 Successful Reported to VAERS voluntarily prior to GDIT contact
2021-03-29 Successful Reported to VAERS voluntarily prior to GDIT contact
2021-05-26 Successful Reported to VAERS voluntarily prior to GDIT contact
2021-08-23 Successful
2021-08-24
Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 5 — day 21, dose 2

2021-03-18

Symptoms: I have felt somewhat nauseous, achy and fatigued off and on since the vaccine. I have not been able to exercise or eat normally. I started having heart palpitations and some chest pressure last week that has not stopped
Healthcare visit (other): Blood tests, emails to doctor

Release 6 — day 35, dose 2

2021-03-29

Symptoms: Stomach upset, nausea, heart palpitations
Healthcare visit (other): Holter monitor

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Stomach/gut upset and pain and nausea

Release 9 — 6 months, dose 2

2021-08-23

Symptoms: Continued on and off heart palpitations, fatigue, decreased exercise tolerance, change in taste that is slowly getting better

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
HCVOBlood test ✓ ✓ ✓
HCVOMedical counselling ✓ ✓ ✓
HCVOUnevaluable event ✓ ✓ ✓
SDAbdominal discomfort ✓ ✓ ✓
SDAbdominal pain upper ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDExercise tolerance decreased ✓ · ✓
SDFatigue ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SDTaste disorder ✓ · ✓

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