ZVW-10286-95472
2 vaccinations
8 coded responses
24 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 231 / VA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Registered in v-safe
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2021-04-05
Dose 1 — Moderna
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2021-04-05
Survey response — day 0, dose 1MedDRA: Pruritus — Feeling: GoodFree text: I felt slightly itchy on my hand and my arms turned pink shortly after the shot for about ten minutes but then I was fineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · ChillsFree text: Felt light headed and like I could faint last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: Poor · Chills · Be unable to do your normal daily activitiesFree text: Higher Resting Heart rate than normal, is 100-110 and goes up even higher if I just walk aroundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: FairFree text: Higher heart rate than usualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-19
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2021-04-26
Survey response — day 21, dose 1MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Really bad stomach ache today but I don't think it's related to vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Dose 2 — Moderna
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2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-05
- 2021-05-06
- 2021-05-07
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2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate irregular, Panic attack — Feeling: Poor · Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Panic attacks and irregular heart rate since last night so sure it's related thoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
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2021-05-10
Survey response — day 7, dose 2MedDRA: Anxiety, Dizziness, Heart rate irregular, Peripheral coldness — Feeling: Poor · Chills, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Heart rate going up and down drastically, impending doom feeling, cold hands and feet, light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Report sent to call center — day 7, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-17
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2021-05-24
Survey response — day 21, dose 2MedDRA: Panic attack, Panic reaction, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Panic attacks are getting worse and more oftenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-31
- 2021-06-07
- 2021-06-14
- 2021-08-02
- 2021-11-01
- 2022-01-19
- 2022-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-03 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): I felt slightly itchy on my hand and my arms turned pink shortly after the shot for about ten minutes but then I was fine
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Felt light headed and like I could faint last night
Systemic reaction (other): Higher Resting Heart rate than normal, is 100-110 and goes up even higher if I just walk around
Systemic reaction (other): Higher heart rate than usual
Release 7 — day 21, dose 1
Symptoms: Really bad stomach ache today but I don't think it's related to vaccine
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Panic attacks and irregular heart rate since last night so sure it's related though
Release 8 — day 7, dose 2
Systemic reaction (other): Heart rate going up and down drastically, impending doom feeling, cold hands and feet, light headed
Release 8 — day 21, dose 2
Symptoms: Panic attacks are getting worse and more often
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Panic attack | ✓ | ✓ | ✓ |
| SD | Panic reaction | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Panic attack | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release