48P-63504-96099

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 967 / HI
Registered: 2021-03-13

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

2021-03-11
Dose 1 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Flatulence, Night sweats — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Gas, chills and sweating during the night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Abdominal pain

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Abdominal pain

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Survey response — day 28, dose 2
MedDRA: Myocardial infarction — Feeling: Poor · 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 attack :(

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — day 28, 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)
2021-05-18
Survey response — day 35, dose 2
MedDRA: Hospitalisation, Myocardial infarction — Feeling: Poor · Be unable to work, 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: Massive heart attack. In hospital 11 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 35, 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)
2021-05-25
Survey response — day 42, dose 2
MedDRA: Myocardial infarction — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Massive heart attack

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — day 42, 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)
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Hospitalisation, Myocardial infarction — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Massive heart attack May 6th. Heart astopped for 12 min. Was flown to (b)(6) for 18 day stay at (b)(6) hospitalSymptoms started day after my 2nd moderna shot. It was dismissed as gastro problems.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Headache, Hyperthyroidism, Pain, Stomatitis — 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

Free text: My thyroid has gone hyper active. Had to get a neck sono...change my thyroid meds 3x since vax. Also have had sores on roof of mouth with pain radiating thru head.

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
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

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2021-10-13
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-04-05
Call successful
Participant prefers to complete VAERS report online
2022-04-13
Survey response — 12 months, dose 2
MedDRA: Death, Myocardial infarction — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: I had a heart attack and died May 6 and am still waiting on a call back from a nurse.

MedDRA releases: 2024-11 · check-in free text available
2022-04-13
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-13	Moderna

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Gas, chills and sweating during the night

Release 8 — day 28, dose 2

2021-05-13

Symptoms: Heart attack :(

Release 8 — day 35, dose 2

2021-05-18

Symptoms: Massive heart attack. In hospital 11 days

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Massive heart attack

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Massive heart attack May 6th. Heart astopped for 12 min. Was flown to (b)(6) for 18 day stay at (b)(6) hospitalSymptoms started day after my 2nd moderna shot. It was dismissed as gastro problems.

redacted (b)(6)

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: My thyroid has gone hyper active. Had to get a neck sono...change my thyroid meds 3x since vax. Also have had sores on roof of mouth with pain radiating thru head.

Release 11 — 12 months, dose 2

2022-04-13

Symptoms: I had a heart attack and died May 6 and am still waiting on a call back from a nurse.

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
SD	Death	·	·	✓
SD	Headache	·	·	✓
SD	Hospitalisation	✓	✓	✓
SD	Hyperthyroidism	·	·	✓
SD	Myocardial infarction	✓	✓	✓
SD	Pain	·	·	✓
SD	Stomatitis	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Night sweats	✓	✓	✓

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