2X8-15863-11788

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 320 / FL
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Survey response — day 0, dose 1
MedDRA: Abdominal pain, Anxiety, Body temperature increased, Chest discomfort, Dysgeusia, Immediate post-injection reaction — Feeling: Good

Free text: Slight metal taste in mouth after 10 minutes that went away within a couple of minutes. I had mild right side abdomen pain for about 10 minutes approximately 30 minutes after the injection, but not necessarily related. My body temperature does feel warmer (not feverish), and my chest felt a little tight, but I think both of these are from anxiety.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia, Self-medication — Feeling: Good · Site: Pain

Free text: I did get a low grade fever last night that went away with Alleve

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-28
Survey response — day 0, dose 2
MedDRA: Dysgeusia, Tachycardia, Ventricular extrasystoles — Feeling: Poor · Site: Pain · 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 visit

Free text: Tachycardia and pvcs. Metallic taste in mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 0, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Good · Site: Pain, Swelling · Be unable to work

Free text: Slightly higher heart rate this morning, but it came down to normal in a couple of hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Fair · Site: Pain, Swelling · Be unable to work, Be unable to do your normal daily activities

Free text: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Paraesthesia — Feeling: Fair · Site: Pain · Be unable to work, Be unable to do your normal daily activities

Free text: Tingling in left hand and light headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Tachycardia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 7, dose 2
MedDRA: Chest discomfort, Heart rate increased, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Chest pressure and rapid heart rate · Healthcare visit (other): Cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Survey response — day 14, dose 2
MedDRA: Unevaluable event — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Similar heart issues to what Ive been experiencing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-15
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-28	Moderna

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-30

Systemic reaction (other): Slight metal taste in mouth after 10 minutes that went away within a couple of minutes. I had mild right side abdomen pain for about 10 minutes approximately 30 minutes after the injection, but not necessarily related. My body temperature does feel warmer (not feverish), and my chest felt a little tight, but I think both of these are from anxiety.

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): I did get a low grade fever last night that went away with Alleve

Release 2 — day 0, dose 2

2021-01-28

Systemic reaction (other): Tachycardia and pvcs. Metallic taste in mouth.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Slightly higher heart rate this morning, but it came down to normal in a couple of hours.

2021-01-30

Systemic reaction (other): Chest pain

2021-02-01

Systemic reaction (other): Tingling in left hand and light headedness

2021-02-03

Systemic reaction (other): Tachycardia

Release 3 — day 7, dose 2

2021-02-04

Systemic reaction (other): Chest pressure and rapid heart rate

Healthcare visit (other): Cardiologist

Release 4 — day 14, dose 2

2021-02-11

Symptoms: Similar heart issues to what Ive been experiencing.

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	Unevaluable event	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Tachycardia	✓	✓	✓
SRO	Ventricular extrasystoles	✓	✓	✓

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