6HD-24846-07888

3 vaccinations 13 coded responses 29 check-ins 12 free-text entries 9 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 010 / MA
Registered: 2021-03-09

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Moderna
2021-03-09
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Thirst — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Thirst

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Seasonal allergy — Feeling: Fair · Headache, Fatigue or tiredness

Free text: I think these are seasonal allergy symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 7, dose 1
MedDRA: Seasonal allergy — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Seasonal allergies I think are causing these symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 14, dose 1
MedDRA: Immunisation reaction, Medical counselling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Vaccine reaction on arm · Healthcare visit (other): Phone call and portal email

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Moderna
2021-04-06
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Phone call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — days 1–6 daily, dose 2
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)
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Off balance

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

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Survey response — day 21, dose 2
MedDRA: Catheterisation cardiac, Coronary artery disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Hospitalization

Free text: I had to get cardiac catheterization which found significant coronary artery disease. I will be having bypass surgery on Monday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Survey response — day 28, dose 2
MedDRA: Coronary artery bypass, Surgery — 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 · Hospitalization

Free text: Coranary bypass surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 28, dose 2
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)
2021-05-11
Survey response — day 35, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Cardiac bypass surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 35, dose 2
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)
2021-05-18
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Fair · 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, Hospitalization

Free text: I ended up having to have cardiac bypass surgery. I dont think this is vaccine related but I didnt know how to answer the question.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 42, dose 2
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)
2021-07-06
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I had to have cardiac bypass surgery. I don't think this has anything to do with vaccines as I had symptoms before vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — 3 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

1 call case(s)
2021-07-08
Call 1 — Left Voicemail
2021-10-05
Survey response — 6 months, dose 2
MedDRA: Dressler's syndrome — Feeling: Fair · Be unable to work or attend school, 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: Dressler syndrome

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-06
Call 1 — Left Voicemail
2022-01-04
Dose 3 — Pfizer-BioNTech
2022-01-05
Call 1 — Left Voicemail
2022-04-06
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-06
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-07-05
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-01-04
Survey response — 12 months, dose 3
MedDRA: Hyperthyroidism, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-04
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-05
Call successful
Does not wish to fill out VAERS report
2023-01-05
Call successful
Does not wish to fill out VAERS report
2023-01-05
Call successful
Does not wish to fill out VAERS report
2023-01-05
Call successful
Does not wish to fill out VAERS report
2023-01-05
Call successful
Does not wish to fill out VAERS report
2023-01-05
Call successful
Does not wish to fill out VAERS report
2023-01-05
Call successful
Does not wish to fill out VAERS report
2023-01-05
Call successful
Does not wish to fill out VAERS report
2023-01-05
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna
3	2022-01-04	Pfizer-BioNTech	No

Call center

9 call center cases

9 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Thirst

2021-03-15

Systemic reaction (other): I think these are seasonal allergy symptoms

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): Seasonal allergies I think are causing these symptoms.

Release 6 — day 14, dose 1

2021-03-23

Symptoms: Vaccine reaction on arm

Healthcare visit (other): Phone call and portal email

Release 7 — days 1–6 daily, dose 2

2021-04-07

Healthcare visit (other): Phone call

2021-04-08

Systemic reaction (other): Off balance

Release 8 — day 21, dose 2

2021-04-27

Symptoms: I had to get cardiac catheterization which found significant coronary artery disease. I will be having bypass surgery on Monday.

Release 8 — day 28, dose 2

2021-05-04

Symptoms: Coranary bypass surgery

Release 8 — day 35, dose 2

2021-05-11

Symptoms: Cardiac bypass surgery

Release 8 — day 42, dose 2

2021-05-18

Symptoms: I ended up having to have cardiac bypass surgery. I dont think this is vaccine related but I didnt know how to answer the question.

Release 9 — 3 months, dose 2

2021-07-06

Symptoms: I had to have cardiac bypass surgery. I don't think this has anything to do with vaccines as I had symptoms before vaccination.

Release 10 — 6 months, dose 2

2021-10-05

Symptoms: Dressler syndrome

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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	○	✓	○
SD	Catheterisation cardiac	✓	✓	✓
SD	Coronary artery bypass	✓	✓	✓
SD	Coronary artery disease	✓	✓	✓
SD	Dressler's syndrome	·	·	✓
SD	Hyperthyroidism	·	·	✓
SD	Immunisation reaction	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Surgery	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓
SRO	Thirst	✓	✓	✓

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