6ML-22116-54562

3 vaccinations 7 coded responses 27 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 061 / CT
Registered: 2021-01-22

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

2021-01-21
Dose 1 — Moderna
2021-01-22
Registered in v-safe
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Heart rate increased, Immediate post-injection reaction, Panic attack — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Felt faint, light headed rapid heart rate, panic attack like symptoms within an hour of the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Motion sickness, Palpitations — Feeling: Fair · Site: Pain · Chills, Headache, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Jittery, motion sickness, some intermittent palpitations, can not drive still since getting shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-01-28
Survey response — day 7, dose 1
MedDRA: Anxiety, Dyspnoea, Feeling jittery, Impaired driving ability — Feeling: Fair · Chills, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Feeling jittery again and very anxious, so bad it affected my ability to drive . Also felt short of breath at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 14, dose 1
MedDRA: Anxiety, Feeling jittery — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Been very anxious and gittery. Having a big impact on my day to emotional state and ability to do things

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-18
Survey response — day 28, dose 1
MedDRA: Dizziness, Lethargy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still having dizzy spells and feel faint at times and lathargic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 35, dose 1
MedDRA: Chills, Palpitations — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Palpitations and chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 35, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Dose 2 — Moderna
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Nausea

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · Headache, Abdominal pain

Adult check-in
2021-04-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 42, dose 2
MedDRA: Headache, Sinusitis — Feeling: Fair

Free text: Ongoing headache, sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Call 1 — Left Voicemail
2021-05-28
Call 1 — Left Voicemail
2021-06-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-02-22
Dose 3 — Pfizer-BioNTech
2022-03-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-03-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-04-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-03-18	Moderna
3	2022-02-22	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Felt faint, light headed rapid heart rate, panic attack like symptoms within an hour of the shot

2021-01-24

Systemic reaction (other): Jittery, motion sickness, some intermittent palpitations, can not drive still since getting shot

Release 3 — day 7, dose 1

2021-01-28

Systemic reaction (other): Feeling jittery again and very anxious, so bad it affected my ability to drive . Also felt short of breath at times

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Been very anxious and gittery. Having a big impact on my day to emotional state and ability to do things

Release 4 — day 28, dose 1

2021-02-18

Symptoms: Still having dizzy spells and feel faint at times and lathargic

Release 4 — day 35, dose 1

2021-02-25

Symptoms: Palpitations and chills

Release 8 — day 42, dose 2

2021-04-29

Symptoms: Ongoing headache, sinus infection

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	Anxiety	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Feeling jittery	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling jittery	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Impaired driving ability	✓	✓	✓
SRO	Motion sickness	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Panic attack	✓	✓	✓

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