3VF-59629-89378
2 vaccinations
1 coded response
19 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 760 / TX
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Moderna
-
2021-01-29
Registered in v-safe
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-19
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Aphasia, Euphoric mood, Psychogenic seizure, Pyrexia, Seizure, Vomiting — Feeling: Poor · Site: Pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Severe: At about 6:30 pm I began having what I thought was an anxiety attack. About 2 hours before I had an edible containing cannabis. This attack escalated to the point where I began vomiting and having pseudo seizures. I was convulsing and unable to speak with only brief moments of lucidity. My wife and her friend ended up having to call me an ambulance and I had to be transported to the hospital for sedation. Ive had cannabis edibles before and have never had a reaction like this before. After my second shot I got a very high feverish and felt feverish last night as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-25
- 2021-04-01
- 2021-04-10
- 2021-05-27
- 2021-08-26
-
2021-09-09
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Severe: At about 6:30 pm I began having what I thought was an anxiety attack. About 2 hours before I had an edible containing cannabis. This attack escalated to the point where I began vomiting and having pseudo seizures. I was convulsing and unable to speak with only brief moments of lucidity. My wife and her friend ended up having to call me an ambulance and I had to be transported to the hospital for sedation. Ive had cannabis edibles before and have never had a reaction like this before. After my second shot I got a very high feverish and felt feverish last night as well.
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 |
|---|---|---|---|---|
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Aphasia | ✓ | ✓ | ✓ |
| SRO | Euphoric mood | ✓ | ✓ | ✓ |
| SRO | Psychogenic seizure | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Seizure | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release