ZWX-15475-64664

5 vaccinations 16 coded responses 57 check-ins 13 free-text entries 6 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 119 / NY
Registered: 2021-01-07

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

2021-01-05
Dose 1 — Moderna
2021-01-07
Registered in v-safe
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-07
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: Fast heartbeat yesterday AM

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate irregular — Feeling: Fair · Fatigue or tiredness

Free text: Heartbeat irregular for 3rd day in a row but I have that now and then

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Moderna
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Faster than normal heartbeat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Not sure this is related. Ongoing problem with occasional weakness may be heart related. I scheduled an outpatient clinic visit in one week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-05-25
Call 1 — Left Voicemail
2021-08-06
Survey response — 6 months, dose 2
MedDRA: Lymphadenopathy, Sinusitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection Swollen glands

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-16
Call 1 — Left Voicemail
2022-01-05
Dose 3 — Moderna
2022-01-06
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Rapid heartbeat

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to work or attend school

Free text: Elevated heart rate

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-09
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Site: Itching

Free text: Lightheaded with faster than usual heartrate

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-12
Health check-in — day 7, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2022-01-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-02
Survey response — day 28, dose 3
MedDRA: Rash, Rash pruritic — Feeling: Good

Free text: Itchy rash reported before continues on both arms/ armpits

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Survey response — day 35, dose 3
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Heart : irregular beats, weakness I've had this condition prior to vaccination but it has become more pronounced · Healthcare visit (other): Discussed during routine appointment with NP

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-15
Call 1 — Could Not Reach Participant
2022-02-16
Survey response — day 42, dose 3
MedDRA: Chest pain, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Very fatigued last weekend Monday 13th went to bed mid morning for an hour, felt mild intermittent flashes of pain in my chest

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-22
Call 1 — Left Voicemail
2022-04-07
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-07-08
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-07-15
Dose 4 — Moderna
2022-07-16
Survey response — days 1–6 daily, dose 4
MedDRA: Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fever

MedDRA releases: 2024-11 · check-in free text available
2022-07-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2022-07-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-07-19
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue — Feeling: Good

Free text: Mild fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-22
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-07-31
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-26
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-10-14
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-12-31
Dose 5 — Moderna
2023-01-01
Survey response — days 1–6 daily, dose 5
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · None

Adult check-in
2023-01-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2023-01-04
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2023-01-05
Survey response — days 1–6 daily, dose 5
MedDRA: Heart rate increased — Feeling: Fair · Headache, Fatigue or tiredness

MedDRA releases: 2024-11
2023-01-06
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2023-01-07
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2023-01-15
Survey response — day 14, dose 5
MedDRA: Asthenia, Dizziness — Feeling: Fair

MedDRA releases: 2024-11
2023-01-22
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2023-01-28
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2023-02-13
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-04-03
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-03	Moderna
3	2022-01-05	Moderna	No
4	2022-07-15	Moderna	No
5	2022-12-31	Moderna	No

Call center

6 call center cases

4 unsuccessful · 2 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Fast heartbeat yesterday AM

2021-01-09

Systemic reaction (other): Heartbeat irregular for 3rd day in a row but I have that now and then

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Faster than normal heartbeat

2021-02-09

Healthcare visit (other): Not sure this is related. Ongoing problem with occasional weakness may be heart related. I scheduled an outpatient clinic visit in one week.

Release 9 — 6 months, dose 2

2021-08-06

Symptoms: Sinus infection Swollen glands

Release 10 — days 1–6 daily, dose 3

2022-01-06

Systemic reaction (other): Rapid heartbeat

2022-01-07

Systemic reaction (other): Elevated heart rate

2022-01-09

Systemic reaction (other): Lightheaded with faster than usual heartrate

Release 11 — day 28, dose 3

2022-02-02

Symptoms: Itchy rash reported before continues on both arms/ armpits

Release 11 — day 35, dose 3

2022-02-10

Symptoms: Heart : irregular beats, weakness I've had this condition prior to vaccination but it has become more pronounced

Healthcare visit (other): Discussed during routine appointment with NP

Release 11 — day 42, dose 3

2022-02-16

Symptoms: Very fatigued last weekend Monday 13th went to bed mid morning for an hour, felt mild intermittent flashes of pain in my chest

Release 12 — days 1–6 daily, dose 4

2022-07-16

Systemic reaction (other): Fever

2022-07-19

Systemic reaction (other): Mild fatigue

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	Asthenia	✓	✓	✓
HCVO	Office visit	·	·	✓
SD	Asthenia	·	·	✓
SD	Chest pain	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Lymphadenopathy	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Sinusitis	✓	·	✓
SRO	Dizziness	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓
SRO	Pyrexia	·	·	✓

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