ZYR-19653-05203

1 vaccination 8 coded responses 16 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 920 / CA
Registered: 2021-01-30

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

2021-01-30
Registered in v-safe
2021-01-30
Dose 1 — Moderna
2021-01-30
Survey response — day 0, dose 1
MedDRA: Hypotension — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Free text: Blood pressure got low

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Hypotension, Palpitations, Tachycardia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Yesterday tachycardia 122 bpm, hypotension 80/53, resulting in heart palps. Resolved after 7 hours. Almost went to ER.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: High blood pressure for 2 hours/anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Hypotension, Office visit, Tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Doctor advised me NOT to take second shot due to my cardiovascular reaction to first shot. Was hypotensive with tachycardia. Will report to vaers.

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

1 call case(s)
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersensitivity — Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Doctor says i had an allergic reaction and NOT to get second shot. Filing a VAERS report.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Immunisation reaction — Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Filed VAERS report allergic reaction to vaccine.

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

1 call case(s)
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-02-05
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-05-01
Survey response — 3 months, dose 1
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore joints in feet, maybe rheumatoid arthritis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Call 1 — Left Voicemail
2021-06-11
Call successful
Does not wish to fill out VAERS report
2021-07-31
Survey response — 6 months, dose 1
MedDRA: Lymph node pain, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Foot pain and problems. Left arm lymph node still tender 6 months later.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-01-30
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-01-30

Systemic reaction (other): Blood pressure got low

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Yesterday tachycardia 122 bpm, hypotension 80/53, resulting in heart palps. Resolved after 7 hours. Almost went to ER.

2021-02-01

Systemic reaction (other): High blood pressure for 2 hours/anxiety

2021-02-02

Systemic reaction (other): Doctor advised me NOT to take second shot due to my cardiovascular reaction to first shot. Was hypotensive with tachycardia. Will report to vaers.

2021-02-03

Systemic reaction (other): Doctor says i had an allergic reaction and NOT to get second shot. Filing a VAERS report.

2021-02-04

Systemic reaction (other): Filed VAERS report allergic reaction to vaccine.

Release 8 — 3 months, dose 1

2021-05-01

Symptoms: Sore joints in feet, maybe rheumatoid arthritis.

Release 9 — 6 months, dose 1

2021-07-31

Symptoms: Foot pain and problems. Left arm lymph node still tender 6 months later.

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	Arthralgia	✓	✓	✓
SD	Lymph node pain	✓	·	✓
SD	Pain in extremity	✓	·	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Hypotension	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Tachycardia	✓	✓	✓

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