ZJW-81636-12000

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 023 / MA
Registered: 2021-03-19

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-18
Dose 1 — Moderna
2021-03-19
Registered in v-safe
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Nausea

Free text: heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea

Free text: heart beating faster but no palpitations today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Headache

Free text: heart rate still higher than normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: still have swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain — Feeling: Fair

Free text: pain in lymph nodes under arms but getting better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — day 14, dose 1
MedDRA: Cardiac disorder — Feeling: Fair

Free text: More recently heart irregularities picked up. I have had COVID before and experienced this then. They are subsiding. I do have changes to my heart function following COVID.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate irregular, Insomnia, Lymph node pain, Palpitations, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: irregular hart beat and racing heart similar to first shot. Difficulty sleeping. Pain in lymph nodes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Fever · Nausea

Free text: swollen glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 7, dose 2
MedDRA: Asthenia, Dizziness — Feeling: Fair · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: dizzy, weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Asthma, Dyspnoea, Exercise tolerance decreased, Limb discomfort, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Asthma is problematic, harder to exercise and catch my breath even without asthma, legs feel very heavy at times.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-15
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): heart palpitations

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): heart beating faster but no palpitations today

2021-03-21

Systemic reaction (other): heart rate still higher than normal

2021-03-23

Systemic reaction (other): still have swollen lymph nodes

2021-03-24

Systemic reaction (other): pain in lymph nodes under arms but getting better

Release 6 — day 14, dose 1

2021-04-01

Symptoms: More recently heart irregularities picked up. I have had COVID before and experienced this then. They are subsiding. I do have changes to my heart function following COVID.

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): irregular hart beat and racing heart similar to first shot. Difficulty sleeping. Pain in lymph nodes.

2021-04-21

Systemic reaction (other): swollen glands

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): dizzy, weak

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Asthma is problematic, harder to exercise and catch my breath even without asthma, legs feel very heavy at times.

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	Asthma	✓	·	✓
SD	Cardiac disorder	✓	✓	✓
SD	Dyspnoea	✓	·	✓
SD	Exercise tolerance decreased	✓	·	✓
SD	Limb discomfort	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓

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