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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

  1. 2021-01-18
    Registered in v-safe
  2. 2021-01-18
    Dose 1 — Moderna
  3. 2021-01-18
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-01-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-15
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-16
    Dose 2 — Moderna
  14. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  15. 2021-02-23
    Health check-in — day 7, dose 2
    Feeling: 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 activities
    Adult check-in
  16. 2021-03-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-16
    Survey response — day 28, dose 2
    MedDRA: Dyspnoea, Heart rate increased, Palpitations — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  19. 2021-03-25
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-03-30
    Survey response — day 42, dose 2
    MedDRA: 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 professional
    Free text: Symptoms: Heart palpitations, elevated heart rate, shortness of breath · Healthcare visit (other): Doctor visit, blood tests, chest X-ray and referral
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-30
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-05-18
    Survey response — 3 months, dose 2
    MedDRA: Graves' disease, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Diagnosed with Graves disease · Healthcare visit (other): Gp, endocrinologist, cardiologist, thyroid sonogram, pulmonologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-18
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-08-17
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  25. 2022-02-16
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-03-18
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Moderna
22021-02-16Moderna

Call center

ReportedOutcomeVAERS-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

2021-03-16

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

2021-03-30

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

2021-05-18

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

FieldPreferred term2021-092023-042024-11
HCVOBlood test ✓ ✓ ✓
HCVOChest X-ray ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDGraves' disease ✓ ✓ ✓
SDHeart rate increased ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓

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