3C6-30385-26982

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 890 / NV
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Survey response — day 0, dose 1
MedDRA: Atrial fibrillation, Chronic kidney disease — Feeling: Good · Headache

Free text: Chronic Kidney Disease, A-Fib

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — day 14, dose 1
MedDRA: Renal disorder — Feeling: Good

Free text: Kidney procedure 1 week ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate irregular — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Irregular heart rhythm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-30
Survey response — day 14, dose 2
MedDRA: Emergency care, Heart rate irregular — Feeling: Fair · 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: Irregular heart beats which resulted in a trip to ER.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Survey response — day 21, dose 2
MedDRA: Atrial fibrillation, Heart rate irregular — Feeling: Fair · Be unable to do your normal daily activities

Free text: Irregular heart beats, goes into AFib.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-17
Survey response — 3 months, dose 2
MedDRA: Cardiac monitoring abnormal, Heart rate irregular, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Irregular heartbeat has returned. Just came off if a 14 day heart monitor. Results Aug. 6th. Cardiologist has suggested a either a pacemaker or ablation procedure. · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2021-07-17
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 1 — Could Not Reach Participant
2021-07-29
Call 2 — Could Not Reach Participant
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Atrioventricular block — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Diagnosed with an AV Block, going thru testing this week/next. Will have results Oct. 22 and Nov. 5th.

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
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

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2021-10-18
Call 1 — Could Not Reach Participant
2021-10-22
Call 2 — Could Not Reach Participant
2022-04-16
Survey response — 12 months, dose 2
MedDRA: Cardiac ablation, Heart rate irregular — 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, Hospitalization

Free text: Last month I had heart ablation done due to irregular heartbeat that could not be controlled with medication.

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
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

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-16	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): Chronic Kidney Disease, A-Fib

Release 6 — day 14, dose 1

2021-03-30

Symptoms: Kidney procedure 1 week ago.

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Irregular heart rhythm

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Irregular heart beats which resulted in a trip to ER.

Release 8 — day 21, dose 2

2021-05-07

Symptoms: Irregular heart beats, goes into AFib.

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: Irregular heartbeat has returned. Just came off if a 14 day heart monitor. Results Aug. 6th. Cardiologist has suggested a either a pacemaker or ablation procedure.

Healthcare visit (other): Office visit

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Diagnosed with an AV Block, going thru testing this week/next. Will have results Oct. 22 and Nov. 5th.

Release 11 — 12 months, dose 2

2022-04-16

Symptoms: Last month I had heart ablation done due to irregular heartbeat that could not be controlled with medication.

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	Atrial fibrillation	✓	✓	✓
SD	Atrioventricular block	·	·	✓
SD	Cardiac ablation	·	·	✓
SD	Cardiac monitoring abnormal	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Renal disorder	✓	✓	✓
SRO	Atrial fibrillation	✓	✓	✓
SRO	Chronic kidney disease	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓

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