3CA-29458-72407

5 vaccinations 17 coded responses 39 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 432 / OH
Registered: 2021-02-07

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

2021-01-13
Dose 1 — Moderna
2021-02-07
Registered in v-safe
2021-02-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate irregular, Palpitations — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Yesterday had irregular heart rate and palpitations for a short time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — day 14, dose 2
MedDRA: Vocal cord dysfunction — Feeling: Good

Free text: When I try to sing I cant hit notes as high as I could last week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 21, dose 2
MedDRA: Aphasia, Chest discomfort, Speech disorder, Vocal cord disorder — Feeling: Fair

Free text: Heaviness in chest. Occasional trouble talking. When trying to sing cant reach all the notes I could a few weeks ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 28, dose 2
MedDRA: Palpitations, Tachycardia — Feeling: Fair

Free text: Palpitations, some episodes tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 35, dose 2
MedDRA: Chest discomfort, Dysphonia, Office visit, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still cant sing l cant hit any higher than a Was able to hit e sometimes f above high c. Throat is sore. When I try to sing and cant hit note chest gets tight and its harder to talk. · Healthcare visit (other): Went to primary care. May go for ent consult

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Survey response — day 42, dose 2
MedDRA: Dysphonia, Heart rate irregular, Palpitations, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Seems like having more palpitations and irregular heart beats. Still having some voice issues · Healthcare visit (other): Will see ent dr in April if voice doesnt improve

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-13
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-24
Dose 3 — Moderna
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate irregular, Palpitations — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Palpitations, irregular heart beats

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate irregular, Palpitations — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Palpitations, irregular heart beats

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Palpitations, Ventricular extrasystoles — Feeling: Fair

Free text: Many PVC today, 3 couplets and one triplet on 30 second Apple Watch tracing. Also palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Survey response — day 7, dose 3
MedDRA: Palpitations, Ventricular extrasystoles — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Still palpitations and multiple pvc

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — day 7, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-03
Call 1 — Left Voicemail
2021-11-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-15
Call 2 — Requested Callback
2021-12-17
Callback requested for
10:00AM ET
2021-12-20
Call 3 — Left Voicemail
2021-12-27
Call successful
Participant prefers to complete VAERS report online
2022-01-23
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-20
Dose 4 — Pfizer-BioNTech
2022-06-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-07-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-18
Survey response — day 28, dose 4
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair

Free text: Just feel more fatigued. Throat still sore at times though I feel it may be post nasal drip as I sleep with window open

MedDRA releases: 2024-11 · check-in free text available
2022-07-27
Survey response — day 35, dose 4
MedDRA: Abdominal pain — Feeling: Good

Free text: Abdominal pain

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Survey response — day 42, dose 4
MedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat, nasal congestion, mild cough

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-27
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-14
Survey response — day 14, dose 5
MedDRA: Headache — Feeling: Good

Free text: Had the bivalent booster and high dose flu vaccine together. Had headache for 6 straight days after vaccines

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-02
Survey response — day 35, dose 5
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: After my vaccines my pvcs seem to get more frequent for a couple months

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-28
Survey response — 3 months, dose 5
MedDRA: Heart rate irregular, Oropharyngeal pain, Paranasal sinus discomfort, SARS-CoV-2 test negative — Feeling: Fair

Free text: Sinus pressure, sore throat for 14 days. Irregular heart beat different from usual. COVID test negative

MedDRA releases: 2024-11 · check-in free text available
2023-03-28
Survey response — 6 months, dose 5
MedDRA: Condition aggravated, Heart rate decreased, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-12	Moderna
3	2021-10-24	Moderna	No
4	2022-06-20	Pfizer-BioNTech	No
5	2022-09-27	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Yesterday had irregular heart rate and palpitations for a short time

Release 4 — day 14, dose 2

2021-02-26

Symptoms: When I try to sing I cant hit notes as high as I could last week

Release 5 — day 21, dose 2

2021-03-05

Symptoms: Heaviness in chest. Occasional trouble talking. When trying to sing cant reach all the notes I could a few weeks ago

Release 5 — day 28, dose 2

2021-03-12

Symptoms: Palpitations, some episodes tachycardia

Release 6 — day 35, dose 2

2021-03-19

Symptoms: Still cant sing l cant hit any higher than a Was able to hit e sometimes f above high c. Throat is sore. When I try to sing and cant hit note chest gets tight and its harder to talk.

Healthcare visit (other): Went to primary care. May go for ent consult

Release 6 — day 42, dose 2

2021-03-26

Symptoms: Seems like having more palpitations and irregular heart beats. Still having some voice issues

Healthcare visit (other): Will see ent dr in April if voice doesnt improve

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): Palpitations, irregular heart beats

2021-10-26

Systemic reaction (other): Palpitations, irregular heart beats

2021-10-29

Systemic reaction (other): Many PVC today, 3 couplets and one triplet on 30 second Apple Watch tracing. Also palpitations

Release 10 — day 7, dose 3

2021-11-02

Systemic reaction (other): Still palpitations and multiple pvc

Release 12 — day 28, dose 4

2022-07-18

Symptoms: Just feel more fatigued. Throat still sore at times though I feel it may be post nasal drip as I sleep with window open

Release 12 — day 35, dose 4

2022-07-27

Symptoms: Abdominal pain

Release 12 — day 42, dose 4

2022-08-03

Symptoms: Sore throat, nasal congestion, mild cough

Release 12 — day 14, dose 5

2022-10-14

Symptoms: Had the bivalent booster and high dose flu vaccine together. Had headache for 6 straight days after vaccines

Release 12 — day 35, dose 5

2022-11-02

Symptoms: After my vaccines my pvcs seem to get more frequent for a couple months

Release 12 — 3 months, dose 5

2022-12-28

Symptoms: Sinus pressure, sore throat for 14 days. Irregular heart beat different from usual. COVID test negative

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain	·	·	✓
SD	Aphasia	○	✓	○
SD	Chest discomfort	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Dysphonia	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate decreased	·	·	✓
SD	Heart rate irregular	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Speech disorder	✓	·	✓
SD	Tachycardia	✓	✓	✓
SD	Vocal cord disorder	✓	·	✓
SD	Vocal cord dysfunction	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Ventricular extrasystoles	·	·	✓

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