YEQ-96011-64045

2 vaccinations 13 coded responses 23 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 800 / CO
Registered: 2020-12-26

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

2020-12-26
Registered in v-safe
2020-12-26
Dose 1 — Moderna
2020-12-26
Survey response — day 0, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain

Free text: Slightly Elevated resting heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-28
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache

Free text: Ihave boots of dizziness, but today it felt a bit worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Fair

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-17
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-22
Dose 2 — Moderna
2021-01-22
Survey response — day 0, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Elevated resting heart rate at 100 - normal is 63

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Elevated resting HR at 100 (normally 63)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal, Heart rate increased — Feeling: Fair · Headache

Free text: Brain fog, dizziness, elevated HR

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Emergency care, Heart rate increased, Tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Increased HR flutter 145 at rest and 190 with light exercise · Healthcare visit (other): And called 911

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Good

Free text: Still some elevated heart rate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Heart rate increased — Feeling: Fair

Free text: Elevated HR, slight dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 7, dose 2
MedDRA: Heart rate increased — Feeling: Fair

Free text: Elevated HR

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 14, dose 2
MedDRA: Heart rate increased, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Elevated heart rate. Incresed palpitations.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Survey response — day 21, dose 2
MedDRA: Heart rate increased — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Heart rate increases

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-09
Call 1 — Left Voicemail
2021-04-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Moderna
2	2021-01-22	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-26	Unsuccessful
2021-02-05	Unsuccessful
2021-02-12	Unsuccessful

Free text

Release 1 — day 0, dose 1

2020-12-26

Systemic reaction (other): Slightly Elevated resting heart rate

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): Ihave boots of dizziness, but today it felt a bit worse

Release 1 — day 7, dose 1

2021-01-02

Systemic reaction (other): Dizzy

Release 2 — day 0, dose 2

2021-01-22

Systemic reaction (other): Elevated resting heart rate at 100 - normal is 63

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Elevated resting HR at 100 (normally 63)

2021-01-24

Systemic reaction (other): Dizziness

2021-01-25

Systemic reaction (other): Brain fog, dizziness, elevated HR

2021-01-26

Systemic reaction (other): Increased HR flutter 145 at rest and 190 with light exercise

Healthcare visit (other): And called 911

2021-01-27

Systemic reaction (other): Still some elevated heart rate.

2021-01-28

Systemic reaction (other): Elevated HR, slight dizziness

Release 3 — day 7, dose 2

2021-01-29

Systemic reaction (other): Elevated HR

Release 3 — day 14, dose 2

2021-02-05

Symptoms: Elevated heart rate. Incresed palpitations.

Release 4 — day 21, dose 2

2021-02-12

Symptoms: Heart rate increases

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	Emergency care	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Palpitations	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Tachycardia	✓	✓	✓

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