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PQF-72317-59373

2 vaccinations 1 coded response 4 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
600 / IL
Registered
2021-03-12
Relationship
Self
Race
N/A
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-11
    Dose 1 — Moderna
  2. 2021-03-12
    Registered in v-safe
  3. 2021-03-12
    Dose 2 — Moderna
  4. 2021-03-12
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  5. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Emergency care, Mobility decreased, Muscle spasticity, Panic attack — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): had a panic attack · Healthcare visit (other): called 911 because my hands and legs froze from panic attack. Never had one before so I didnt know what was happening to me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-13
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  9. 2021-03-20
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-12Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): had a panic attack
Healthcare visit (other): called 911 because my hands and legs froze from panic attack. Never had one before so I didnt know what was happening to me.

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
HCVOEmergency care ✓ ✓ ✓
HCVOMobility decreased ✓ · ✓
HCVOMuscle spasticity ○ ✓ ○
HCVOPanic attack ✓ ✓ ✓
SROPanic attack ✓ ✓ ✓

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