YPL-10771-38242

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 077 / NJ
Registered: 2021-02-06

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

2021-02-05
Dose 1 — Moderna
2021-02-06
Registered in v-safe
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Heart rate increased, Supraventricular tachycardia, Thirst — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Yes, I had an SVT episode last night where my heart rate was racing at about 180 beats per minute. Also every morning since the vaccine I wake up extremely dry and thirsty. Im not sure anything is related. · Healthcare visit (other): Daughter was home to help me through the SVT episode

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dehydration, Fatigue, Malaise, Supraventricular tachycardia — Feeling: Fair · Fatigue or tiredness

Free text: Just not feeling great. Extremely dehydrated. Svt episode was tiring.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dehydration, Supraventricular tachycardia — Feeling: Fair · Fatigue or tiredness

Free text: I have experienced dehydration and a svt heart episode on Sunday night and Im not certain if related. I needed to drink constantly yesterday. I am starting to feel better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: No other symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Survey response — day 21, dose 1
MedDRA: Chills, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Yesterday I had chills and was achey... did not feel well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Dose 2 — Moderna
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Not today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 21, dose 2
MedDRA: Palpitations — Feeling: Good

Free text: Palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-16
Call 1 — Could Not Reach Participant
2021-07-21
Call 2 — Left Voicemail
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-04	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-08	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-08

Systemic reaction (other): Yes, I had an SVT episode last night where my heart rate was racing at about 180 beats per minute. Also every morning since the vaccine I wake up extremely dry and thirsty. Im not sure anything is related.

Healthcare visit (other): Daughter was home to help me through the SVT episode

2021-02-09

Systemic reaction (other): Just not feeling great. Extremely dehydrated. Svt episode was tiring.

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): I have experienced dehydration and a svt heart episode on Sunday night and Im not certain if related. I needed to drink constantly yesterday. I am starting to feel better today.

Release 4 — day 7, dose 1

2021-02-12

Systemic reaction (other): No other symptoms

Release 4 — day 21, dose 1

2021-02-26

Symptoms: Yesterday I had chills and was achey... did not feel well.

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Not today

Release 6 — day 21, dose 2

2021-03-25

Symptoms: 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
HCVO	Supraventricular tachycardia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Supraventricular tachycardia	✓	✓	✓
SRO	Thirst	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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