5EL-14587-17655

2 vaccinations 14 coded responses 23 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 327 / FL
Registered: 2021-04-07

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

ERG-26508-02799 Child or adolescent in my care · Male · 2021-12-01

Timeline

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

2021-04-06
Dose 1 — Moderna
2021-04-07
Registered in v-safe
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Palpitations — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Heart palpitations and left side of arm and legs sharp numbing pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Pain, Palpitations, Paraesthesia — Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Heart palpitations mostly at night with left side of arm and leg numbing on toes; tiggling pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Heat Palpitations not so much as before; left side arm and leg not so much as before Jst alittle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Paraesthesia — Feeling: Fair · Fatigue or tiredness

Free text: So far no more pain on left side or tingling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Feeling ok, no heart palpitations or pain in the left side of arm and legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Survey response — day 14, dose 1
MedDRA: Arthralgia, Fatigue, Pain — Feeling: Fair

Free text: Exhausted/Tired; Joint/Body Pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-04
Dose 2 — Moderna
2021-05-04
Survey response — day 0, dose 2
MedDRA: Dizziness, Immediate post-injection reaction, Medical observation, Musculoskeletal stiffness, Neck pain, Palpitations — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Heart Palpitations, Stiff Neck Pain, Dizzy · Healthcare visit (other): 30 mins at place I got shot, they evaluated me, if it continues to get worse was told to see a doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Palpitations — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Heart Palpitations, Stiff Neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Musculoskeletal stiffness, Nausea, Palpitations, Pyrexia — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Some Heart Palpitations; Some Stiff Neck; Fever, Chills and Neusea was from last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Pyrexia — Feeling: Good · Chills, Fatigue or tiredness

Free text: A little chill/feverish last night but doing pretty ok so far.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-05-18
Survey response — day 14, dose 2
MedDRA: Chills, Malaise, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had a fever and chills two days ago, feeling horrible sick lasted abt two days. Have appointment coming up to see doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-06-15
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-08-03
Survey response — 3 months, dose 2
MedDRA: Musculoskeletal chest pain, Pain, Pain in extremity, Palpitations, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Heart palpitations, feverish/fever, pain left side of body legs&arm, pain upper right rib

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-02
Survey response — 6 months, dose 2
MedDRA: Asthenia, COVID-19, Dyspnoea, Malaise, Palpitations — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: My son had Covid not vax high fever for him and stomach pains etc and I got it but was vax. I had shortness of breath; heart palpitations; felt very weak for 3 days; felt horrible.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — 6 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 · Emergency room or emergency department visit · 1 call case(s)
2021-11-03
Call 1 — Could Not Reach Participant
2021-11-08
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-04	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Heart palpitations

2021-04-08

Systemic reaction (other): Heart palpitations and left side of arm and legs sharp numbing pain

2021-04-09

Systemic reaction (other): Heart palpitations mostly at night with left side of arm and leg numbing on toes; tiggling pain

2021-04-10

Systemic reaction (other): Heat Palpitations not so much as before; left side arm and leg not so much as before Jst alittle.

2021-04-11

Systemic reaction (other): So far no more pain on left side or tingling.

2021-04-12

Systemic reaction (other): Feeling ok, no heart palpitations or pain in the left side of arm and legs.

Release 7 — day 14, dose 1

2021-04-20

Symptoms: Exhausted/Tired; Joint/Body Pains

Release 8 — day 0, dose 2

2021-05-04

Systemic reaction (other): Heart Palpitations, Stiff Neck Pain, Dizzy

Healthcare visit (other): 30 mins at place I got shot, they evaluated me, if it continues to get worse was told to see a doctor

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Heart Palpitations, Stiff Neck

2021-05-06

Systemic reaction (other): Some Heart Palpitations; Some Stiff Neck; Fever, Chills and Neusea was from last night.

2021-05-08

Systemic reaction (other): A little chill/feverish last night but doing pretty ok so far.

Release 8 — day 14, dose 2

2021-05-18

Symptoms: Had a fever and chills two days ago, feeling horrible sick lasted abt two days. Have appointment coming up to see doctor.

Release 9 — 3 months, dose 2

2021-08-03

Symptoms: Heart palpitations, feverish/fever, pain left side of body legs&arm, pain upper right rib

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: My son had Covid not vax high fever for him and stomach pains etc and I got it but was vax. I had shortness of breath; heart palpitations; felt very weak for 3 days; felt horrible.

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	Immediate post-injection reaction	✓	✓	✓
HCVO	Medical observation	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Chills	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Musculoskeletal chest pain	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	·	✓
SD	Palpitations	✓	·	✓
SD	Pyrexia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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