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3Q5-41227-43800

2 vaccinations 9 coded responses 10 check-ins 9 free-text entries 5 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
604 / IL
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Dose 1 — Moderna
  2. 2021-04-12
    Dose 2 — Moderna
  3. 2021-04-15
    Registered in v-safe
  4. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Palpitations — Feeling: Fair · Fever
    Free text: Heart palpitations since my first shot on and off
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Palpitations — Feeling: Good · Site: Swelling
    Free text: Heart Palpitations
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-19
    Survey response — day 7, dose 2
    MedDRA: Palpitations — Feeling: Good · Site: Pain
    Free text: Heart Palpitations
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-26
    Survey response — day 14, dose 2
    MedDRA: Chest pain, Hospitalisation, Palpitations — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Was hospitalized for sever chest pains like a heart attack and palpitations.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-26
    Report sent to call center — day 14, dose 2
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-05-03
    Survey response — day 21, dose 2
    MedDRA: Hospitalisation, Palpitations — Feeling: Fair · 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, Hospitalization
    Free text: Heart Palpitations, severe enough to have to go to the emergency, I was admitted for observation, given a 24 hour heart monitor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-03
    Report sent to call center — day 21, 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)
  11. 2021-05-10
    Survey response — day 28, dose 2
    MedDRA: Dysgeusia, Gingival bleeding — Feeling: Good
    Free text: Bleeding gums every day, metal taste in my mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-24
    Survey response — day 42, dose 2
    MedDRA: Palpitations — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Heart Palpitations still happening
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-24
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-07-13
    Survey response — 3 months, dose 2
    MedDRA: Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Heart palpitations still happening.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-07-13
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-07-22
  18. 2021-10-11
    Survey response — 6 months, dose 2
    MedDRA: Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: I am still having the heart palpitations daily
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-10-11
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  20. 2021-10-12
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-12Moderna

Call center

5 call center cases

1 successful · 4 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Heart palpitations since my first shot on and off

2021-04-16

Systemic reaction (other): Heart Palpitations

Release 7 — day 7, dose 2

2021-04-19

Systemic reaction (other): Heart Palpitations

Release 8 — day 14, dose 2

2021-04-26

Symptoms: Was hospitalized for sever chest pains like a heart attack and palpitations.

Release 8 — day 21, dose 2

2021-05-03

Symptoms: Heart Palpitations, severe enough to have to go to the emergency, I was admitted for observation, given a 24 hour heart monitor

Release 8 — day 28, dose 2

2021-05-10

Symptoms: Bleeding gums every day, metal taste in my mouth

Release 8 — day 42, dose 2

2021-05-24

Symptoms: Heart Palpitations still happening

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Heart palpitations still happening.

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: I am still having the heart palpitations daily

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

FieldPreferred term2021-092023-042024-11
SDChest pain ✓ ✓ ✓
SDDysgeusia ✓ ✓ ✓
SDGingival bleeding ✓ ✓ ✓
SDHospitalisation ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓

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