ZUL-19803-94303
2 vaccinations
1 coded response
12 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 430 / OH
- Registered
- 2021-05-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Dose 1 — Moderna
-
2021-05-10
Dose 2 — Moderna
-
2021-05-14
Registered in v-safe
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-06-16
- 2021-06-21
- 2021-08-09
- 2021-11-08
-
2022-05-10
Survey response — 12 months, dose 2MedDRA: Office visit, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Mild heart palpitations · Healthcare visit (other): Primary care doctor, cardiologist referralMedDRA releases: 2024-11 · check-in free text available
-
2022-05-10
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Moderna | |
| 2 | 2021-05-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-10 | Successful 2022-05-11 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 11 — 12 months, dose 2
Symptoms: Mild heart palpitations
Healthcare visit (other): Primary care doctor, cardiologist referral
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 | Office visit | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release