64J-71686-39960

4 vaccinations 13 coded responses 41 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 921 / CA
Registered: 2021-04-11

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

2021-03-13
Dose 1 — Moderna
2021-04-10
Dose 2 — Moderna
2021-04-11
Registered in v-safe
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Good · Site: Pain, Swelling

Free text: Last night after yesterday's checkin fever went to 101

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Fever · Abdominal pain

Free text: Resting hesrt rate went up again. In total from 58 to 62

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Insomnia — Feeling: Good · Site: Redness, Swelling, Itching

Free text: RHR continues to be elevated and sleep not as good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Good · Site: Swelling

Free text: RHR higher than normal but starting to drop

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness

Free text: Slightly elevated heart rate

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Fever · Headache

Free text: Increased resting heart rate

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Elevated resting heart rate. Although starting to slowing drop.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Good · Site: Swelling · Muscle or body aches, Diarrhea, Abdominal pain

Free text: Continued higher resting heart rate (66 rather than the usual 60-62)

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Good

Free text: Elevate resting heart rate although starting to drop slowly

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — day 7, dose 3
MedDRA: Heart rate increased — Feeling: Good

Free text: Continued elevated resting heart rate. 4 or 5 above my normal

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-13
Dose 4 — Moderna
2022-05-15
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate increased, Respiratory rate increased — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Slightly elevated rhr and breathing rate

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate increased — Feeling: Good

Free text: Slightly elevated RHR

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate increased — Feeling: Good · Fatigue or tiredness

Free text: Slightly elevated RHR

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-20
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-05-13
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Moderna
2	2021-04-10	Moderna
3	2021-10-29	Moderna	No
4	2022-05-13	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Last night after yesterday's checkin fever went to 101

2021-04-13

Systemic reaction (other): Resting hesrt rate went up again. In total from 58 to 62

2021-04-14

Systemic reaction (other): RHR continues to be elevated and sleep not as good

2021-04-15

Systemic reaction (other): RHR higher than normal but starting to drop

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Slightly elevated heart rate

2021-10-31

Systemic reaction (other): Increased resting heart rate

2021-11-01

Systemic reaction (other): Elevated resting heart rate. Although starting to slowing drop.

2021-11-02

Systemic reaction (other): Continued higher resting heart rate (66 rather than the usual 60-62)

2021-11-04

Systemic reaction (other): Elevate resting heart rate although starting to drop slowly

Release 10 — day 7, dose 3

2021-11-05

Systemic reaction (other): Continued elevated resting heart rate. 4 or 5 above my normal

Release 11 — days 1–6 daily, dose 4

2022-05-15

Systemic reaction (other): Slightly elevated rhr and breathing rate

2022-05-16

Systemic reaction (other): Slightly elevated RHR

2022-05-17

Systemic reaction (other): Slightly elevated RHR

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
SRO	Heart rate increased	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory rate increased	·	·	✓

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