ZN3-22591-86332
3 vaccinations
7 coded responses
41 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 190 / PA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
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2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Blood pressure increased, Epistaxis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bloody nose and elevated blood pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — day 7, dose 1MedDRA: Blood pressure increased — Feeling: Poor · 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 consultationFree text: My blood pressure went to 200/110 last night. No history of high blood pressure. I was fine prior to that but yesterday things went off and now on blood pressure medsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Report sent to call center — day 7, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-11
Survey response — day 14, dose 1MedDRA: Epistaxis, Heart rate increased, Hypertension — Feeling: Fair · 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: High blood pressure with no history of high blood pressure....pressure up to 200/110 , nose bleeds and rapid heart rate.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased — Feeling: GoodFree text: Still elevated blood pressure but not as high this time cause Im on medicationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased — Feeling: GoodFree text: Still elevated blood pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
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2021-05-27
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: My progressWith aortic stenosis was enhancedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Report sent to call center — 3 months, 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)
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2021-07-01
Call successfulParticipant prefers to complete VAERS report online
- 2021-08-26
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2021-10-27
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Palpitations — Feeling: GoodFree text: Few palpatationsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
- 2022-04-27
- 2022-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-04 | Successful | Participant prefers to complete VAERS report online |
| 2021-02-11 | Successful | Participant prefers to complete VAERS report online |
| 2021-05-27 | Successful 2021-07-01 |
Participant prefers to complete VAERS report online |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Bloody nose and elevated blood pressure
Release 3 — day 7, dose 1
Systemic reaction (other): My blood pressure went to 200/110 last night. No history of high blood pressure. I was fine prior to that but yesterday things went off and now on blood pressure meds
Release 4 — day 14, dose 1
Symptoms: High blood pressure with no history of high blood pressure....pressure up to 200/110 , nose bleeds and rapid heart rate.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Still elevated blood pressure but not as high this time cause Im on medication
Systemic reaction (other): Still elevated blood pressure
Release 8 — 3 months, dose 2
Symptoms: My progressWith aortic stenosis was enhanced
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Few palpatations
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 | Epistaxis | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Palpitations | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release