ZTX-78905-85308
4 vaccinations
4 coded responses
27 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 079 / NJ
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-28
Dose 1 — Moderna
-
2021-03-16
Registered in v-safe
- 2021-03-16
- 2021-03-21
-
2021-03-28
Dose 2 — Moderna
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Atrial fibrillation, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I am an AFIB patients for the past about 7 years. Five days ago I had the second dose of the Moderna vaccine. 18 days after the first dose I had an Afib event. Some three days later I had another Afib event. Five days after the second dose I had another Afib (today). Before getting the first dose the frequency of Afib were few and far between.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
-
2021-04-04
Survey response — day 7, dose 2MedDRA: Atrial fibrillation, Pre-existing disease — Feeling: GoodFree text: My frequency of Afib has increased since the first dose.Not sure if the vaccine is a contributing factor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-18
- 2021-04-25
- 2021-05-02
- 2021-05-10
- 2021-06-30
- 2021-09-27
-
2021-11-19
Dose 3 — Moderna
- 2022-03-29
-
2022-04-22
Dose 4 — Moderna
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-21
- 2022-05-29
- 2022-06-06
-
2022-07-22
Survey response — 3 months, dose 4MedDRA: Cough, Headache, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolFree text: Runny nose, cough, slight headache on day 0 and day 1.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Survey response — 6 months, dose 4MedDRA: Chest discomfort, SARS-CoV-2 test positive — Feeling: GoodFree text: In June 2022 I tested positive for Covid 19. I did get my second Moderna booster in April 2022 for a total of 4 vaccinations. The symptoms were mild however. On October 18 I had the Moderna bivalent vaccine. My heart felt different for two days.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Moderna | |
| 2 | 2021-03-28 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I am an AFIB patients for the past about 7 years. Five days ago I had the second dose of the Moderna vaccine. 18 days after the first dose I had an Afib event. Some three days later I had another Afib event. Five days after the second dose I had another Afib (today). Before getting the first dose the frequency of Afib were few and far between.
Release 6 — day 7, dose 2
Systemic reaction (other): My frequency of Afib has increased since the first dose.Not sure if the vaccine is a contributing factor.
Release 12 — 3 months, dose 4
Symptoms: Runny nose, cough, slight headache on day 0 and day 1.
Release 12 — 6 months, dose 4
Symptoms: In June 2022 I tested positive for Covid 19. I did get my second Moderna booster in April 2022 for a total of 4 vaccinations. The symptoms were mild however. On October 18 I had the Moderna bivalent vaccine. My heart felt different for two days. cut off by CDC
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 | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Atrial fibrillation | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release