697-26034-89500

3 vaccinations 7 coded responses 33 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 26-30
ZIP prefix: 971 / OR
Registered: 2021-05-04

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

2021-04-18
Dose 1 — Moderna
2021-05-04
Registered in v-safe
2021-05-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-23
Dose 2 — Moderna
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-19
Dose 3 — Moderna
2021-12-19
Survey response — day 0, dose 3
MedDRA: Dyspnoea, Heart rate increased, Unevaluable event — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Elevated heart rate and brief periods of shortness of breath. · Healthcare visit (other): I have booked an appointment but haven't been yet as the next available appointment is a couple weeks out

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Report sent to call center — day 0, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-20
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased, Office visit — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Elevated heart rate · Healthcare visit (other): Went to urgent care for the elevated heart rate, EKG and blood work showed no issues other than elevated heart rate.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-12-21
Call 1 — Left Voicemail
2021-12-21
Call successful
Participant prefers to complete VAERS report online
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Heart rate increased — Feeling: Good · Site: Pain, Swelling

Free text: Still having the occasional elevated heart rate and getting out of breath easily

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea exertional, Heart rate increased — Feeling: Good

Free text: Elevated heart rate and catching my breath when moving around or walking after sitting down

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Heart rate increased — Feeling: Good

Free text: Having to catch my breath and elevated heart rate briefly when being active

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Survey response — day 7, dose 3
MedDRA: Dyspnoea, Heart rate increased — Feeling: Good · Be unable to do your normal daily activities

Free text: Elevated heart rate and trouble catching my breath during normal activity

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — day 14, dose 3
MedDRA: Dyspnoea exertional, Heart rate increased, Hypersensitivity, Office visit — Feeling: Fair · Be unable to do your normal daily activities

Free text: Elevated heart rate and having to catch my breath from doing simple things like walking up stairs came back. My doctors suspect it's an allergic reaction.

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-19
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-19
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-18	Moderna
2	2021-05-23	Moderna
3	2021-12-19	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 10 — day 0, dose 3

2021-12-19

Systemic reaction (other): Elevated heart rate and brief periods of shortness of breath.

Healthcare visit (other): I have booked an appointment but haven't been yet as the next available appointment is a couple weeks out

Release 10 — days 1–6 daily, dose 3

2021-12-20

Systemic reaction (other): Elevated heart rate

Healthcare visit (other): Went to urgent care for the elevated heart rate, EKG and blood work showed no issues other than elevated heart rate.

2021-12-23

Systemic reaction (other): Still having the occasional elevated heart rate and getting out of breath easily

2021-12-24

Systemic reaction (other): Elevated heart rate and catching my breath when moving around or walking after sitting down

2021-12-25

Systemic reaction (other): Having to catch my breath and elevated heart rate briefly when being active

Release 10 — day 7, dose 3

2021-12-26

Systemic reaction (other): Elevated heart rate and trouble catching my breath during normal activity

Release 10 — day 14, dose 3

2022-01-03

Symptoms: Elevated heart rate and having to catch my breath from doing simple things like walking up stairs came back. My doctors suspect it's an allergic reaction.

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	Heart rate increased	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Office visit	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Dyspnoea exertional	·	·	✓
SRO	Heart rate increased	·	·	✓

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