YNT-26533-52383

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 189 / PA
Registered: 2021-01-16

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

2021-01-15
Dose 1 — Moderna
2021-01-16
Registered in v-safe
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Delirium, Pyrexia — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Delirious felt errors with fever -baseline 97.5

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Ventricular extrasystoles — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Pre ventricular contractions , B.P elevated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-22
Survey response — day 7, dose 1
MedDRA: Blood pressure increased, Heart rate increased — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: B/P still up but coming down1 150/90 and pulse still up but coming down 92

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 14, dose 1
MedDRA: Blood pressure increased, Heart rate increased, Office visit, Palpitations, Presyncope — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Blood pressure has been more elevated , heart rate over 100 bpm and palpitations for a minute to two with feeling faint , yesterday never had these , pre vaccine otherwise good . Will have a 24 hour halter cardiac monitor and echo stress test /blood · Healthcare visit (other): Cardiology office Doc MD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
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)
2021-02-05
Survey response — day 21, dose 1
MedDRA: Blood pressure abnormal, Heart rate increased, Office visit, Palpitations — Feeling: Fair · 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: Palpitations , Blood pressure not going down , pulse elevated /saw cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Dose 2 — Moderna
2021-02-25
Survey response — day 7, dose 2
MedDRA: Blood pressure increased, Heart rate increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pulse still up since vaccine BP up as well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-21
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-26
Call 1 — Left Voicemail
2021-03-28
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-07
Call 1 — Left Voicemail
2021-08-14
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-12
Survey response — 12 months, dose 2
MedDRA: Dizziness, Heart rate increased — Feeling: Fair

Free text: Occasional increase in heart rate , occasional dizzy

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	Unsuccessful
2021-01-21	Unsuccessful
2021-01-29	Unsuccessful
2021-02-05	Unsuccessful
2021-02-25	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Delirious felt errors with fever -baseline 97.5

2021-01-21

Systemic reaction (other): Pre ventricular contractions , B.P elevated

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): B/P still up but coming down1 150/90 and pulse still up but coming down 92

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Blood pressure has been more elevated , heart rate over 100 bpm and palpitations for a minute to two with feeling faint , yesterday never had these , pre vaccine otherwise good . Will have a 24 hour halter cardiac monitor and echo stress test /blood cut off by CDC

Healthcare visit (other): Cardiology office Doc MD

Release 3 — day 21, dose 1

2021-02-05

Symptoms: Palpitations , Blood pressure not going down , pulse elevated /saw cardiologist

Release 4 — day 7, dose 2

2021-02-25

Systemic reaction (other): Pulse still up since vaccine BP up as well

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: Occasional increase in heart rate , occasional dizzy

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	Office visit	✓	✓	✓
SD	Blood pressure abnormal	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Presyncope	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Delirium	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Ventricular extrasystoles	✓	✓	✓

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