6F7-68796-26103

2 vaccinations 15 coded responses 21 check-ins 15 free-text entries 5 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 974 / OR
Registered: 2021-01-31

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

2021-01-29
Dose 1 — Moderna
2021-01-31
Registered in v-safe
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Dyspnoea — Feeling: Poor · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Trouble breathing/chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dyspnoea, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, chest pain, trouble breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Dyspnoea, Oropharyngeal pain — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Chest tightness, sore throat, trouble breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Dyspnoea, Emergency care, Heart rate increased, Oxygen saturation decreased — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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

Free text: Trouble breathing, low oxygen, increased heart rate, feeling faint (was in ER last night)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — days 1–6 daily, dose 1
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)
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Dyspnoea, Heart rate increased, Oropharyngeal pain — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rapid heart rate, trouble breathing, chest tightness, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — days 1–6 daily, dose 1
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)
2021-02-05
Survey response — day 7, dose 1
MedDRA: Chest pain, Dyspnoea, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath, chest pain, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 14, dose 1
MedDRA: Chest pain, Dizziness, Dyspnoea, Fatigue, Headache, Lymphadenopathy, Myalgia — 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, Outpatient clinic or urgent care clinic visit

Free text: Fatigue, dizziness, shortness of breath, chest pain, swollen glands, muscle aches, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Report sent to call center — day 14, dose 1
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)
2021-02-19
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Lymph node pain, Lymphadenopathy, Oedema peripheral — 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, Outpatient clinic or urgent care clinic visit

Free text: Swollen and painful lymph nodes, pain in arms, hands, and chest. Trouble breathing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — day 21, dose 1
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)
2021-06-22
Call successful
Participant prefers to complete VAERS report online
2021-07-30
Survey response — 6 months, dose 1
MedDRA: Dizziness, Palpitations, Sinus tachycardia — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Dizziness, increased palpitations and sinus tachycardia

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-10
Call 1 — Left Voicemail
2021-08-19
Dose 2 — Moderna
2021-08-19
Survey response — day 0, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Rapid heart rate

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-08-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

Free text: Swollen lymph nodes in neck

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Swollen lymph nodes in neck

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

Free text: Swollen lymph nodes in neck and armpits

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

Free text: Swollen lymph nodes in neck and armpits

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-09
Survey response — day 21, dose 2
MedDRA: Heart rate increased, Palpitations — Feeling: Fair

Free text: Increased heart rate and palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-08-19	Moderna	No

Call center

5 call center cases

4 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Trouble breathing/chest tightness

2021-02-01

Systemic reaction (other): Sore throat, chest pain, trouble breathing

2021-02-02

Systemic reaction (other): Chest tightness, sore throat, trouble breathing

2021-02-03

Systemic reaction (other): Trouble breathing, low oxygen, increased heart rate, feeling faint (was in ER last night)

2021-02-04

Systemic reaction (other): Rapid heart rate, trouble breathing, chest tightness, sore throat

Release 3 — day 7, dose 1

2021-02-05

Systemic reaction (other): Shortness of breath, chest pain, sore throat

Release 4 — day 14, dose 1

2021-02-12

Symptoms: Fatigue, dizziness, shortness of breath, chest pain, swollen glands, muscle aches, headache

Release 4 — day 21, dose 1

2021-02-19

Symptoms: Swollen and painful lymph nodes, pain in arms, hands, and chest. Trouble breathing.

Release 9 — 6 months, dose 1

2021-07-30

Symptoms: Dizziness, increased palpitations and sinus tachycardia

Release 9 — day 0, dose 2

2021-08-19

Systemic reaction (other): Rapid heart rate

Release 9 — days 1–6 daily, dose 2

2021-08-23

Systemic reaction (other): Swollen lymph nodes in neck

2021-08-24

Systemic reaction (other): Swollen lymph nodes in neck

2021-08-25

Systemic reaction (other): Swollen lymph nodes in neck and armpits

Release 9 — day 7, dose 2

2021-08-26

Systemic reaction (other): Swollen lymph nodes in neck and armpits

Release 9 — day 21, dose 2

2021-09-09

Symptoms: Increased heart rate and palpitations

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	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Palpitations	✓	·	✓
SD	Sinus tachycardia	✓	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lymphadenopathy	✓	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Oxygen saturation decreased	✓	✓	✓

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