4MQ-14933-44946

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 751 / TX
Registered: 2021-06-08

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-06-08
Registered in v-safe
2021-06-08
Dose 1 — Moderna
2021-06-08
Survey response — day 0, dose 1
MedDRA: Heart rate irregular — Feeling: Fair · Site: Swelling

Free text: Right after the vaccine I had a few irregular heartbeats. They are e mostly gone now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-10
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Fear, Feeling abnormal, Heart rate irregular, Immediate post-injection reaction, Medical counselling, Pain, Pain in extremity, Peripheral swelling, Vision blurred — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mostly tired and sorta of fuzzy headed sometimes. The arm mostly hurts when I move it. But it seems better today. It did hurt last night. the swelling isn't too bad. The thing that scared me and bothered me most about the whole experience was the several irregular heartbeats I had right after the vaccine. I had 1 or 2 little ones since. The worse were in a row right after. And a tiny blurry eyes head right after. The man at the vaccine site said it was probably ok. That the 2nd one is much worse, so I am really afraid to get the 2nd shot since I had several irregular heartbeats right after the 1st one. And everything says the 2nd is worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate irregular — Feeling: Good · Headache, Fatigue or tiredness

Free text: Occasional irregular heartbeats. Not very often. The most was right after the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-06-14
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Heart palpitations off and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-22
Survey response — day 14, dose 1
MedDRA: Heart rate irregular — Feeling: Fair · Be unable to do your normal daily activities

Free text: Today soft irregular heartbeats.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-07-06
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-07-07
Dose 2 — Moderna
2021-07-08
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate irregular — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: A few mild irregular heartbeats.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-07-10
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Warm at injection site. Looks like it's swelling just a little more today, but now has a little redness it didn't have yesterday. But it really did hurt allot more after midnight. Terrible. I rotated Tylenol and Excedrin, and put a cool washcloth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-07-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-07-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-07-14
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-07-21
Survey response — day 14, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: A little bit of sore throat. But not bad.

MedDRA releases: 2024-11 · check-in free text available
2021-07-28
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Gastric disorder, Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea, threw up, fever 100.1 diarrhea. Sunday night Monday morning. Better now. But still a bit of stomach prob. But better.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-18
Survey response — day 42, dose 2
MedDRA: Headache, Heart rate irregular — Feeling: Good

Free text: Not worse, but Still have headache's. And just off and on irregular heartbeats, but not severe.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-08	Moderna
2	2021-07-07	Moderna	No

Free text

Release 8 — day 0, dose 1

2021-06-08

Systemic reaction (other): Right after the vaccine I had a few irregular heartbeats. They are e mostly gone now.

Release 9 — days 1–6 daily, dose 1

2021-06-10

Systemic reaction (other): Mostly tired and sorta of fuzzy headed sometimes. The arm mostly hurts when I move it. But it seems better today. It did hurt last night. the swelling isn't too bad. The thing that scared me and bothered me most about the whole experience was the several irregular heartbeats I had right after the vaccine. I had 1 or 2 little ones since. The worse were in a row right after. And a tiny blurry eyes head right after. The man at the vaccine site said it was probably ok. That the 2nd one is much worse, so I am really afraid to get the 2nd shot since I had several irregular heartbeats right after the 1st one. And everything says the 2nd is worse. cut off by CDC

2021-06-11

Systemic reaction (other): Occasional irregular heartbeats. Not very often. The most was right after the vaccine.

2021-06-14

Systemic reaction (other): Heart palpitations off and on

Release 9 — day 14, dose 1

2021-06-22

Symptoms: Today soft irregular heartbeats.

Release 9 — days 1–6 daily, dose 2

2021-07-08

Systemic reaction (other): A few mild irregular heartbeats.

2021-07-10

Systemic reaction (other): Warm at injection site. Looks like it's swelling just a little more today, but now has a little redness it didn't have yesterday. But it really did hurt allot more after midnight. Terrible. I rotated Tylenol and Excedrin, and put a cool washcloth cut off by CDC

Release 9 — day 14, dose 2

2021-07-21

Symptoms: A little bit of sore throat. But not bad.

Release 9 — day 21, dose 2

2021-07-28

Symptoms: Nausea, threw up, fever 100.1 diarrhea. Sunday night Monday morning. Better now. But still a bit of stomach prob. But better.

Release 9 — day 42, dose 2

2021-08-18

Symptoms: Not worse, but Still have headache's. And just off and on irregular heartbeats, but not severe.

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	Diarrhoea	✓	·	✓
SD	Gastric disorder	✓	·	✓
SD	Headache	✓	·	✓
SD	Heart rate irregular	✓	✓	✓
SD	Nausea	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Vomiting	✓	·	✓
SRO	Fatigue	·	·	✓
SRO	Fear	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Medical counselling	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Peripheral swelling	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Vision blurred	·	·	✓

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