ZR4-23692-49042
2 vaccinations
3 coded responses
13 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 774 / TX
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Moderna
-
2021-03-10
Registered in v-safe
-
2021-03-11
Survey response — day 14, dose 1MedDRA: Dizziness — Feeling: GoodFree text: Few times I felt very dizzy and concerned I may fall .after sitting and holding to a wall and taking deep breaths, felt better and almost back to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-24
-
2021-03-25
Dose 2 — Moderna
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Hospitalisation, Myocardial infarction — Feeling: Fair · Site: Redness · Headache, Nausea · Get care from a doctor or other healthcare professional · HospitalizationFree text: Systemic reaction (other): Monday I had a heart attack!!s current I am hospitalized · Healthcare visit (other): I had a heart attack, late Sunday and currently admitted to hospital for treatment got stent placement!!!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-02
Survey response — day 7, dose 2MedDRA: Hospitalisation, Myocardial infarction, Surgery — Feeling: Fair · Site: Redness · Chills, Fatigue or tirednessFree text: Monday evening I had heart attack and been admitted to hospital and undergo surgery!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-19
- 2021-04-22
- 2021-04-30
- 2021-05-06
- 2021-06-24
- 2021-09-24
- 2021-11-06
- 2022-03-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-25 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-31 | Unsuccessful |
Free text
Release 5 — day 14, dose 1
Symptoms: Few times I felt very dizzy and concerned I may fall .after sitting and holding to a wall and taking deep breaths, felt better and almost back to normal.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Monday I had a heart attack!!s current I am hospitalized
Healthcare visit (other): I had a heart attack, late Sunday and currently admitted to hospital for treatment got stent placement!!!!
Release 6 — day 7, dose 2
Systemic reaction (other): Monday evening I had heart attack and been admitted to hospital and undergo surgery!
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 | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hospitalisation | ✓ | ✓ | ✓ |
| SRO | Myocardial infarction | ✓ | ✓ | ✓ |
| SRO | Surgery | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release