32P-68228-77969

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 326 / FL
Registered: 2021-01-19

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Moderna
2021-01-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Severe reflux after going to bed, lasting for about 12 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Nightmare — Feeling: Good

Free text: Frightening nightmare at 1 am 1/23/21

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: Nightmare — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: For the last two nights I have experienced a terrifying nightmare and extremely stressful dreaming. I have intermittent AFib and havent had an episode since 9/12/20. These terrifying dreams wake me up with highly increased heart rate which I fear will trip me into an event. Is having nightmares a symptom of the vaccine? I havent had nightmares or bad dreams for over 20-30 years. FYI I will soon be 82.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Once again, I woke up at about 2 in the morning experiencing a rapid heart beat114 bpm. The rapid heart rate continued; however, slowed only to 94 bpm. At 4:30 am, I took an extra dose of cardizem and an extra 1/2 of a 150 my tablet of Rythmol. The rapid heart rate continued into 6:10 am when it converted to my normal night time rate of 45 bpm. At 6:45 am I went back to bed and slept until 11 am. My heart rate has remained in my normal daytime rate of 53 to 57 bpm. Are these episodes of rapid heart rate a side effect if the Covid19 vaccine?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No nightmares or bad dreams last night and no racing heart.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Nightmare — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nightmares again fir 2 nights

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Survey response — day 7, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

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

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-22
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-18
Survey response — 12 months, dose 2
MedDRA: Breast cancer, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I was diagnosed with breast cancer in my right breast on 1/25/22. Today, I learned that there is a cancer in my left breast as well. On 2/25/22, I will undergo a double mastectomy and then radiation and chemo therapies. · Healthcare visit (other): Multiple cancer doctor offices,

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-18	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Severe reflux after going to bed, lasting for about 12 hours

2021-01-23

Systemic reaction (other): Frightening nightmare at 1 am 1/23/21

2021-01-24

Systemic reaction (other): For the last two nights I have experienced a terrifying nightmare and extremely stressful dreaming. I have intermittent AFib and havent had an episode since 9/12/20. These terrifying dreams wake me up with highly increased heart rate which I fear will trip me into an event. Is having nightmares a symptom of the vaccine? I havent had nightmares or bad dreams for over 20-30 years. FYI I will soon be 82.

2021-01-25

Systemic reaction (other): Once again, I woke up at about 2 in the morning experiencing a rapid heart beat114 bpm. The rapid heart rate continued; however, slowed only to 94 bpm. At 4:30 am, I took an extra dose of cardizem and an extra 1/2 of a 150 my tablet of Rythmol. The rapid heart rate continued into 6:10 am when it converted to my normal night time rate of 45 bpm. At 6:45 am I went back to bed and slept until 11 am. My heart rate has remained in my normal daytime rate of 53 to 57 bpm. Are these episodes of rapid heart rate a side effect if the Covid19 vaccine?

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): No nightmares or bad dreams last night and no racing heart.

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Nightmares again fir 2 nights

Release 4 — day 7, dose 2

2021-02-25

Systemic reaction (other): Sore throat

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: I was diagnosed with breast cancer in my right breast on 1/25/22. Today, I learned that there is a cancer in my left breast as well. On 2/25/22, I will undergo a double mastectomy and then radiation and chemo therapies.

Healthcare visit (other): Multiple cancer doctor offices,

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	Breast cancer	·	·	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Nightmare	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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