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ZKN-11336-89803

2 vaccinations 4 coded responses 17 check-ins 4 free-text entries 2 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
456 / OH
Registered
2021-03-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-29
    Registered in v-safe
  2. 2021-03-29
    Dose 1 — Moderna
  3. 2021-03-29
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches
    Adult check-in
  5. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  6. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-05
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  11. 2021-04-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-26
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-28
    Dose 2 — Moderna
  15. 2021-05-05
    Survey response — day 7, dose 2
    MedDRA: Cardiospasm, Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Systemic reaction (other): Lightheaded and caused my heart spasms to escalate · Healthcare visit (other): Heart spasms escalated and have been continuously happening since
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-05
    Report sent to call center — day 7, 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)
  17. 2021-05-13
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-05-19
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-05-26
    Survey response — day 28, dose 2
    MedDRA: Migraine — 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: Headaches. I thought they were from the nitro I was taking for my coranary artery Vado-spasm that the shot sent into overdrive but I am not taking the long acting nitro anymore and I am still having migraines daily
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-26
    Report sent to call center — day 28, 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)
  21. 2021-06-02
    Survey response — day 35, dose 2
    MedDRA: Arteriospasm coronary, Condition aggravated, Dizziness, Migraine, Nausea, Pre-existing disease — Feeling: Poor · Be unable to work
    Free text: Dizziness, more coronary artery spasms, migraines and nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-07-28
    Survey response — 3 months, dose 2
    MedDRA: Cardiospasm, Headache — Feeling: Fair · Be unable to work or attend school
    Free text: Headaches and heart spasms nonstop but you dont read these so whats the difference
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  23. 2022-01-05

Vaccinations

DoseDateManufacturerCo-administered
12021-03-29Moderna
22021-04-28Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-05 Unsuccessful
2021-05-26 Unsuccessful

Free text

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Lightheaded and caused my heart spasms to escalate
Healthcare visit (other): Heart spasms escalated and have been continuously happening since

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Headaches. I thought they were from the nitro I was taking for my coranary artery Vado-spasm that the shot sent into overdrive but I am not taking the long acting nitro anymore and I am still having migraines daily

Release 8 — day 35, dose 2

2021-06-02

Symptoms: Dizziness, more coronary artery spasms, migraines and nausea

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: Headaches and heart spasms nonstop but you dont read these so whats the difference

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
HCVOCardiospasm ✓ ✓ ✓
SDArteriospasm coronary ○ ✓ ○
SDCardiospasm ✓ · ✓
SDCondition aggravated ✓ · ✓
SDDizziness ✓ ✓ ✓
SDHeadache ✓ · ✓
SDMigraine ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SROCardiospasm ✓ ✓ ✓
SRODizziness ✓ ✓ ✓

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