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ZVW-22024-74204

2 vaccinations 2 coded responses 13 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
995 / AK
Registered
2021-01-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Moderna
  3. 2021-01-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-05
    Dose 2 — Moderna
  12. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Chills, Mobility decreased, Pain — Feeling: Good · Chills · Be unable to do your normal daily activities
    Free text: I had body aches in arm and lower back pain. I had body chills the following 24 hours after dose. Really couldnt get out of bed but aft 24-26 hours it seemed like everything went away and have been fine since
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-08-07
    Survey response — 6 months, dose 2
    MedDRA: Atrial fibrillation, Cardiac failure, Hospitalisation, Ventricular tachycardia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: HEart failure. I was in the hospital twice in since June. On meds now that I hope have it under controlI was having Vtac then went into Afib, needed to be shocked to end the Afib episode.This was quite a surprise considering I am in good shape
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-08-07
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-10-11
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  18. 2022-02-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-05Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): I had body aches in arm and lower back pain. I had body chills the following 24 hours after dose. Really couldnt get out of bed but aft 24-26 hours it seemed like everything went away and have been fine since

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: HEart failure. I was in the hospital twice in since June. On meds now that I hope have it under controlI was having Vtac then went into Afib, needed to be shocked to end the Afib episode.This was quite a surprise considering I am in good shape

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
SDAtrial fibrillation ✓ · ✓
SDCardiac failure ✓ · ✓
SDHospitalisation ✓ · ✓
SDVentricular tachycardia ✓ · ✓
SROBack pain ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROMobility decreased · · ✓
SROPain ✓ ✓ ✓

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