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
-
2021-03-29
Registered in v-safe
-
2021-03-29
Dose 1 — Moderna
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Headache, Muscle or body achesAdult check-in
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
-
2021-04-28
Dose 2 — Moderna
-
2021-05-05
Survey response — day 7, dose 2MedDRA: 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 visitFree text: Systemic reaction (other): Lightheaded and caused my heart spasms to escalate · Healthcare visit (other): Heart spasms escalated and have been continuously happening sinceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Report sent to call center — day 7, 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)
- 2021-05-13
- 2021-05-19
-
2021-05-26
Survey response — day 28, dose 2MedDRA: 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 visitFree 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 dailyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Report sent to call center — day 28, 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)
-
2021-06-02
Survey response — day 35, dose 2MedDRA: Arteriospasm coronary, Condition aggravated, Dizziness, Migraine, Nausea, Pre-existing disease — Feeling: Poor · Be unable to workFree text: Dizziness, more coronary artery spasms, migraines and nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-28
Survey response — 3 months, dose 2MedDRA: Cardiospasm, Headache — Feeling: Fair · Be unable to work or attend schoolFree text: Headaches and heart spasms nonstop but you dont read these so whats the differenceMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-01-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-05 | Unsuccessful | |
| 2021-05-26 | Unsuccessful |
Free text
Release 8 — day 7, dose 2
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
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
Symptoms: Dizziness, more coronary artery spasms, migraines and nausea
Release 9 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Cardiospasm | ✓ | ✓ | ✓ |
| SD | Arteriospasm coronary | ○ | ✓ | ○ |
| SD | Cardiospasm | ✓ | · | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Cardiospasm | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release