ZA8-12803-74438

2 vaccinations 15 coded responses 27 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 688 / NE
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: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-16
Survey response — day 7, dose 1
MedDRA: Axillary mass — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Lump under left armpit, same side as injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 28, dose 1
MedDRA: Asthenia, Muscular weakness, Pain in extremity, Palpitations — Feeling: Good

Free text: Lower leg pain/weaknessHeart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 35, dose 1
MedDRA: Headache, Palpitations — Feeling: Fair · 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: Heart palpitations, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 35, 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)
2021-05-21
Dose 2 — Moderna
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen armpit and neck lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen armpit and neck lymph nodes, rapid heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Rapid heart rate, resting 90's, sitting at work 100-130

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Site: Pain · Fever · Be unable to do your normal daily activities

Free text: Dizziness and elevated heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe dizziness and elevated heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Elevated heart rate, terrible dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 7, dose 2
MedDRA: Blood pressure increased, Dizziness, Heart rate increased — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Elevated heart rate and blood pressure, along with dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-11
Survey response — day 21, dose 2
MedDRA: Heart rate increased, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Racing heart rates

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — day 28, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Elevated heartrate ... 90's to 100's all day long

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Survey response — day 35, dose 2
MedDRA: Asthenia, Dyspnoea, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Elevated heart rate with shortness of breath and loss of energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-22
Survey response — 3 months, dose 2
MedDRA: Dizziness, Dyspnoea, 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: Seeing cardiologist this week for ongoing heart palpitations, dizziness, shortness of breath, etc.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-24
Call 1 — Left Voicemail
2021-11-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-22
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-05-21	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-13	Unsuccessful
2021-08-22	Unsuccessful

Free text

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): Lump under left armpit, same side as injection

Release 7 — day 28, dose 1

2021-04-06

Symptoms: Lower leg pain/weaknessHeart palpitations

Release 7 — day 35, dose 1

2021-04-13

Symptoms: Heart palpitations, headaches

Release 8 — days 1–6 daily, dose 2

2021-05-22

Systemic reaction (other): Swollen armpit and neck lymph nodes

2021-05-23

Systemic reaction (other): Swollen armpit and neck lymph nodes, rapid heart rate

2021-05-24

Systemic reaction (other): Rapid heart rate, resting 90's, sitting at work 100-130

2021-05-25

Systemic reaction (other): Dizziness and elevated heart rate

2021-05-26

Systemic reaction (other): Severe dizziness and elevated heart rate

2021-05-27

Systemic reaction (other): Elevated heart rate, terrible dizziness

Release 8 — day 7, dose 2

2021-05-28

Systemic reaction (other): Elevated heart rate and blood pressure, along with dizziness

Release 9 — day 21, dose 2

2021-06-11

Symptoms: Racing heart rates

Release 9 — day 28, dose 2

2021-06-18

Symptoms: Elevated heartrate ... 90's to 100's all day long

Release 9 — day 35, dose 2

2021-06-25

Symptoms: Elevated heart rate with shortness of breath and loss of energy

Release 9 — 3 months, dose 2

2021-08-22

Symptoms: Seeing cardiologist this week for ongoing heart palpitations, dizziness, shortness of breath, etc.

Release 11 — 12 months, dose 2

2022-05-22

Symptoms: Covid

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	Asthenia	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	✓	✓	✓
SRO	Axillary mass	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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