28J-11882-51184

3 vaccinations 8 coded responses 26 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 923 / CA
Registered: 2021-01-22

Relationship: Self
Race: Multiracial
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site rash, Injection site warmth — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Arm injection area has a little rash and its hot down to my elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia — Feeling: Good · Site: Pain, Redness · Fever · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Fever has come and gone a couple of times. I typically run around 97.4

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Quarantine, Respiratory tract congestion — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Chest tight, congested. Ive been in quarantine before and after the vaccine. So maybe its a sinus infection?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Tachycardia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Have had tachycardia since my first vaccine and now its constant. Currently being evaluated · Healthcare visit (other): ER for tachycardia on Wednesday (2 days prior) heart rate has stayed elevated since the first vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Tachycardia — Feeling: Good · Fatigue or tiredness

Free text: Tachycardia since first vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 7, dose 2
MedDRA: Tachycardia — Feeling: Good · Headache · Be unable to do your normal daily activities

Free text: Tachycardia ongoing. On a heart monitor now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 42, dose 2
MedDRA: Electrocardiogram ambulatory, Tachycardia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Symptoms: Still dealing with tachycardia daily going up to 206 bpm · Healthcare visit (other): Holter monitor. Waiting on results

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
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)
2021-05-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-09
Call 1 — Left Voicemail
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Cardiac ablation, Cardiac disorder, Tachycardia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Ongoing tachycardia/heart issues, still seeking medical help. · Healthcare visit (other): 2 cardiac ablations in 8 weeks. Getting nuclear medicine tests this week.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-26
Call 1 — Left Voicemail
2021-11-16
Dose 3 — Moderna
2022-02-20
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-02-20
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna
3	2021-11-16	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Arm injection area has a little rash and its hot down to my elbow

2021-01-24

Systemic reaction (other): Fever has come and gone a couple of times. I typically run around 97.4

2021-01-28

Systemic reaction (other): Chest tight, congested. Ive been in quarantine before and after the vaccine. So maybe its a sinus infection?

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Have had tachycardia since my first vaccine and now its constant. Currently being evaluated

Healthcare visit (other): ER for tachycardia on Wednesday (2 days prior) heart rate has stayed elevated since the first vaccine.

2021-02-25

Systemic reaction (other): Tachycardia since first vaccine

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Tachycardia ongoing. On a heart monitor now.

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Still dealing with tachycardia daily going up to 206 bpm

Healthcare visit (other): Holter monitor. Waiting on results

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Ongoing tachycardia/heart issues, still seeking medical help.

Healthcare visit (other): 2 cardiac ablations in 8 weeks. Getting nuclear medicine tests this week.

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	Cardiac ablation	✓	·	✓
HCVO	Electrocardiogram ambulatory	✓	✓	✓
HCVO	Heart rate increased	✓	✓	✓
HCVO	Tachycardia	✓	✓	✓
SD	Cardiac disorder	✓	·	✓
SD	Tachycardia	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Quarantine	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Tachycardia	✓	✓	✓

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