ZRD-12483-02071
2 vaccinations
3 coded responses
20 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 104 / NY
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
- 2021-01-19
- 2021-01-21
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-16
Dose 2 — Moderna
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-23
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-02
- 2021-03-09
-
2021-03-16
Survey response — day 28, dose 2MedDRA: Dyspnoea, Heart rate increased, Palpitations — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Shortness of breath when running less than a quarter mile (previously I was running at least 3 miles several times a week with no problems)Also elevated heart rate when not doing anything strenuous. Palpitations.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
-
2021-03-30
Survey response — day 42, dose 2MedDRA: Blood test, Chest X-ray, Dyspnoea, Heart rate increased, Office visit, Palpitations — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Heart palpitations, elevated heart rate, shortness of breath · Healthcare visit (other): Doctor visit, blood tests, chest X-ray and referralMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-18
Survey response — 3 months, dose 2MedDRA: Graves' disease, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Diagnosed with Graves disease · Healthcare visit (other): Gp, endocrinologist, cardiologist, thyroid sonogram, pulmonologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-17
- 2022-02-16
-
2022-03-18
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-16 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-30 | Successful | Participant prefers to complete VAERS report online |
| 2021-05-18 | Successful 2022-03-18 |
Participant prefers to complete VAERS report online |
Free text
Release 5 — day 28, dose 2
Symptoms: Shortness of breath when running less than a quarter mile (previously I was running at least 3 miles several times a week with no problems)Also elevated heart rate when not doing anything strenuous. Palpitations.
Release 6 — day 42, dose 2
Symptoms: Heart palpitations, elevated heart rate, shortness of breath
Healthcare visit (other): Doctor visit, blood tests, chest X-ray and referral
Release 8 — 3 months, dose 2
Symptoms: Diagnosed with Graves disease
Healthcare visit (other): Gp, endocrinologist, cardiologist, thyroid sonogram, pulmonologist
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 | Blood test | ✓ | ✓ | ✓ |
| HCVO | Chest X-ray | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Graves' disease | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release