ZBC-13911-21276

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 960 / CA
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Unevaluable event — Feeling: Good · Abdominal pain

Free text: About one minute, twice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Survey response — day 21, dose 1
MedDRA: Dizziness, Nausea — Feeling: Fair

Free text: I had a dizziness/nausea episode one morning. Slept it off, then felt fine. Experienced a mild version the next morning. Feeling fine now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Dose 2 — Moderna
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Survey response — day 14, dose 2
MedDRA: Office visit, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Strong heart palpitations · Healthcare visit (other): Primary care doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 21, dose 2
MedDRA: Office visit, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: More constant and intense heart pounding · Healthcare visit (other): Same day primary care doctor. Cardiologist referral obtained

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — day 28, dose 2
MedDRA: Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Heart thumping continually

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-28
Survey response — day 35, dose 2
MedDRA: Cough, Dyspnoea, Fatigue, Hypertension, Medical counselling — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Erratic blood pressure, intense heartbeating, fatigue, dry cough, shortness of breath · Healthcare visit (other): Primary care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Survey response — day 42, dose 2
MedDRA: Blood pressure fluctuation, Dizziness, Heart rate increased — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: More erratic blood pressure highs and lows, more dizziness, and now some higher heat rates.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-08
Call 1 — Left Voicemail
2021-06-08
Call 1 — Left Voicemail
2021-06-08
Call 1 — Left Voicemail
2021-06-08
Call 1 — Left Voicemail
2021-06-08
Call 1 — Left Voicemail
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-05	Unsuccessful
2021-03-12	Unsuccessful
2021-03-19	Unsuccessful
2021-03-28	Unsuccessful
2021-04-02	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): About one minute, twice

Release 4 — day 21, dose 1

2021-02-12

Symptoms: I had a dizziness/nausea episode one morning. Slept it off, then felt fine. Experienced a mild version the next morning. Feeling fine now.

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Strong heart palpitations

Healthcare visit (other): Primary care doctor visit

Release 5 — day 21, dose 2

2021-03-12

Symptoms: More constant and intense heart pounding

Healthcare visit (other): Same day primary care doctor. Cardiologist referral obtained

Release 6 — day 28, dose 2

2021-03-19

Symptoms: Heart thumping continually

Release 6 — day 35, dose 2

2021-03-28

Symptoms: Erratic blood pressure, intense heartbeating, fatigue, dry cough, shortness of breath

Healthcare visit (other): Primary care

Release 6 — day 42, dose 2

2021-04-02

Symptoms: More erratic blood pressure highs and lows, more dizziness, and now some higher heat rates.

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	✓	✓	✓
SD	Blood pressure fluctuation	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Palpitations	✓	✓	✓
SRO	Adverse reaction	✓	·	✓
SRO	Unevaluable event	○	✓	○

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