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6N5-14290-19470

1 vaccination 1 coded response 3 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
582 / ND
Registered
2020-12-23
Relationship
Self

Timeline

  1. 2020-12-22
    Dose 1 — Moderna
  2. 2020-12-23
    Registered in v-safe
  3. 2020-12-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Flushing, Heart rate increased, Hypertension, Medical observation, Office visit, Panic attack, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: On 12/22 after receiving the initial dose i had a flush feeling neck and head. Then my Heart rate and blood pressure was very high. HR 140s and BP 160/90. I did get the chills in addition. The nurses monitored me for an hour. I felt ok after that. The. Urses amy have thought i had a panic attack but how do i know? Ive had alot of anxiety lately but have never experienced a panic attack. I am concerned about the second injection. I do have an appointment with my MD to discuss. Please respond. Thank you... (b)(6)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-27
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  6. 2020-12-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-22Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): On 12/22 after receiving the initial dose i had a flush feeling neck and head. Then my Heart rate and blood pressure was very high. HR 140s and BP 160/90. I did get the chills in addition. The nurses monitored me for an hour. I felt ok after that. The. Urses amy have thought i had a panic attack but how do i know? Ive had alot of anxiety lately but have never experienced a panic attack. I am concerned about the second injection. I do have an appointment with my MD to discuss. Please respond. Thank you... (b)(6)
redacted (b)(6)

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

FieldPreferred term2021-092023-042024-11
SROAnxiety ○ ○ ○
SROChills ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROHypertension ✓ ✓ ✓
SROMedical observation ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SROPanic attack ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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