ZVF-31036-90274

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 212 / MD
Registered: 2021-03-10

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Good · Joint pains

Free text: Joint pains yesterday only

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — day 7, dose 2
MedDRA: Heart rate irregular, Injection site discomfort — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Still have slight discomfort at the injection site. Also, since my 1st shot I had been experiencing a rapid heart beat while resting. My pulse was taken and it was good. The best way I can describe how I felt was my heart was beating faster and I

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 14, dose 2
MedDRA: Fatigue, Haematochezia, Heart rate increased, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rapid heartbeat, get tired very easy and bright red blood in my stool. I visited my primary care doctor on Monday, 4/19/21. · Healthcare visit (other): In my doctor's office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Survey response — day 21, dose 2
MedDRA: Atrial fibrillation, Heart rate increased, Office visit, Telemedicine — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Because of my very rapid heartbeat which started after my 1st vaccination I visited my primary care doctor on 4/19/21. She ordered an event monitor which I used from 4/22-4/28. She referred me to a cardiologist because I have a/fib · Healthcare visit (other): In my doctor's office on 4/19 and telehealth on 4/28.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — day 28, dose 2
MedDRA: Atrial fibrillation, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: After my vaccinations I was diagnosed by my primary care doctor on 4/27/21 with arterial fibrillation. My doctor referred me to a cardiologist. My appointment is May 24th. · Healthcare visit (other): In my doctor's office plus one virtual visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Survey response — day 35, dose 2
MedDRA: Office visit, Telemedicine, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Waiting to get diagnosis from cardiologist. My appointment is May 28th. · Healthcare visit (other): Doctor's office and also telehealth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-19
Survey response — day 42, dose 2
MedDRA: Cardiac disorder, Office visit, Telemedicine — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Heart problem. Referred to cardiologist. Appointment is May 28th. · Healthcare visit (other): Telehealth and doctor office visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-08
Call 1 — Left Voicemail
2022-04-07
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna

Call center

5 call center cases

5 unsuccessful

VAERS report filed, before or during a call: 2

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Joint pains yesterday only

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Still have slight discomfort at the injection site. Also, since my 1st shot I had been experiencing a rapid heart beat while resting. My pulse was taken and it was good. The best way I can describe how I felt was my heart was beating faster and I

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Rapid heartbeat, get tired very easy and bright red blood in my stool. I visited my primary care doctor on Monday, 4/19/21.

Healthcare visit (other): In my doctor's office

Release 8 — day 21, dose 2

2021-04-30

Symptoms: Because of my very rapid heartbeat which started after my 1st vaccination I visited my primary care doctor on 4/19/21. She ordered an event monitor which I used from 4/22-4/28. She referred me to a cardiologist because I have a/fib

Healthcare visit (other): In my doctor's office on 4/19 and telehealth on 4/28.

Release 8 — day 28, dose 2

2021-05-05

Symptoms: After my vaccinations I was diagnosed by my primary care doctor on 4/27/21 with arterial fibrillation. My doctor referred me to a cardiologist. My appointment is May 24th.

Healthcare visit (other): In my doctor's office plus one virtual visit.

Release 8 — day 35, dose 2

2021-05-12

Symptoms: Waiting to get diagnosis from cardiologist. My appointment is May 28th.

Healthcare visit (other): Doctor's office and also telehealth

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Heart problem. Referred to cardiologist. Appointment is May 28th.

Healthcare visit (other): Telehealth and doctor office visit.

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	✓	✓	✓
HCVO	Telemedicine	✓	✓	✓
SD	Atrial fibrillation	✓	✓	✓
SD	Cardiac disorder	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Haematochezia	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓
SRO	Injection site discomfort	✓	✓	✓

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