2DN-10393-81600

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 233 / VA
Registered: 2021-02-09

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-03
Dose 1 — Moderna
2021-02-09
Registered in v-safe
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Ear discomfort, Immediate post-injection reaction, Palpitations, Pre-existing disease, Sinus disorder — Feeling: Fair · Site: Pain, Redness · Chills

Free text: Sinuses and ear fullness have been worse than normal, I felt that 5 mins afterwards plus heart palpitations.. also my asthma seems worse these last couple days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 7, dose 1
MedDRA: Rhinalgia — Feeling: Good

Free text: I forgot to mention that the inside of nose is sore, left side.. still is.. its stated a day or do after the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 14, dose 1
MedDRA: Hypersensitivity, Palpitations, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Allergies, heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-03
Dose 2 — Moderna
2021-03-03
Survey response — day 0, dose 2
MedDRA: Ear discomfort, Hypersensitivity, Paranasal sinus discomfort — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Allergies, sinus pressure, ears feel full

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Fair · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-24
Survey response — day 21, dose 2
MedDRA: Atrioventricular block, Cardiac flutter, Palpitations, Surgery — Feeling: Fair

Free text: I just want you to be aware, since the first vaccine where my heart fluttered right after, and had palpitations in the few days after. I ended getting 3 stints in my Rt artery, had a stress test in between 1st and 2nd vaccine is where a blockage was.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 35, dose 2
MedDRA: Palpitations — Feeling: Fair · Be unable to work

Free text: Heart palpitations ( that happened right after the first shot, been downhill ever since with regards to the heart) 2 hospital stays

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-03	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): Sinuses and ear fullness have been worse than normal, I felt that 5 mins afterwards plus heart palpitations.. also my asthma seems worse these last couple days

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): I forgot to mention that the inside of nose is sore, left side.. still is.. its stated a day or do after the vaccine

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Allergies, heart palpitations

Release 5 — day 0, dose 2

2021-03-03

Systemic reaction (other): Allergies, sinus pressure, ears feel full

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Runny nose

Release 6 — day 21, dose 2

2021-03-24

Symptoms: I just want you to be aware, since the first vaccine where my heart fluttered right after, and had palpitations in the few days after. I ended getting 3 stints in my Rt artery, had a stress test in between 1st and 2nd vaccine is where a blockage was. cut off by CDC

Release 7 — day 35, dose 2

2021-04-09

Symptoms: Heart palpitations ( that happened right after the first shot, been downhill ever since with regards to the heart) 2 hospital stays

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	Atrioventricular block	✓	✓	✓
SD	Cardiac flutter	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Surgery	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinalgia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓

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