YBJ-32625-44853
4 vaccinations
10 coded responses
31 check-ins
10 free-text entries
7 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 770 / TX
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Moderna
-
2021-04-10
Dose 2 — Moderna
-
2021-04-14
Registered in v-safe
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety — Feeling: Poor · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: AnxiousnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: AnxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Heart rate increased — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Anxiety, elevated heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-17
Survey response — day 7, dose 2MedDRA: Anxiety, Blood pressure increased, Heart rate increased — Feeling: PoorFree text: Anxiety, elevated heart rate (over 90) and elevated blood pressure (162/102)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — day 14, dose 2MedDRA: Anxiety — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Anxiety has been bad on some days. Im nit normally anxious but on Tuesday and Friday, I just could not calm down. The anxiety attacks started after each dose of the Moderna vaccine. First raise, the anxiety last 4 days, seconddise abd we are at 14MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-01
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2021-05-09
Survey response — day 28, dose 2MedDRA: Anxiety, Office visit, Pre-existing disease — Feeling: Fair · 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 visitFree text: Anxiety was once again very bad and went to see my primary care physician. Nothing has been the same since I took the 2nd dose of the Moderna vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-15
Survey response — day 35, dose 2MedDRA: Anxiety, Office visit, Syncope — Feeling: Fair · 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 visitFree text: I fainted at the dentist office due to anxiety.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-22
- 2021-07-10
- 2021-10-09
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2021-10-26
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Anxiety — Feeling: GoodFree text: AnxietyMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
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2021-11-02
Survey response — day 7, dose 3MedDRA: Anxiety — Feeling: GoodFree text: AnxietyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-09
- 2022-01-21
- 2022-01-25
- 2022-01-26
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2022-04-11
Dose 4 — Moderna
- 2022-04-18
- 2022-04-27
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-07-11
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2022-10-10
Survey response — 6 months, dose 4MedDRA: COVID-19, Cough, Nasal congestion, Office visit, Oropharyngeal pain, Pyrexia — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had COVID in August. I had a cough, a sore throat, a fever of 101 degrees for four days and nasal congestion · Healthcare visit (other): My primary care physicianMedDRA releases: 2024-11 · check-in free text available
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2022-10-10
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-11
- 2022-10-11
- 2022-10-11
- 2022-10-11
- 2022-10-11
- 2022-10-11
- 2022-10-11
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2022-10-19
Call successfulCompleted over the phone
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2022-10-19
Call successfulCompleted over the phone
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2022-10-19
Call successfulCompleted over the phone
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2022-10-19
Call successfulCompleted over the phone
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2022-10-19
Call successfulCompleted over the phone
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2022-10-19
Call successfulCompleted over the phone
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2022-10-19
Call successfulNot applicable - Accidental Reporting
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-10 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-14 | Successful 2022-10-19 |
Completed over the phone |
| 2021-04-15 | Successful 2022-10-19 |
Completed over the phone |
| 2021-04-16 | Successful 2022-10-19 |
Completed over the phone |
| 2021-04-24 | Successful 2022-10-19 |
Completed over the phone |
| 2021-05-09 | Successful 2022-10-19 |
Completed over the phone |
| 2021-05-15 | Successful 2022-10-19 |
Completed over the phone |
| 2022-10-10 | Successful 2022-10-19 |
Not applicable - Accidental Reporting |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Anxiousness
Systemic reaction (other): Anxiety
Systemic reaction (other): Anxiety, elevated heart rate
Release 7 — day 7, dose 2
Systemic reaction (other): Anxiety, elevated heart rate (over 90) and elevated blood pressure (162/102)
Release 7 — day 14, dose 2
Symptoms: Anxiety has been bad on some days. Im nit normally anxious but on Tuesday and Friday, I just could not calm down. The anxiety attacks started after each dose of the Moderna vaccine. First raise, the anxiety last 4 days, seconddise abd we are at 14
Release 8 — day 28, dose 2
Symptoms: Anxiety was once again very bad and went to see my primary care physician. Nothing has been the same since I took the 2nd dose of the Moderna vaccine.
Release 8 — day 35, dose 2
Symptoms: I fainted at the dentist office due to anxiety.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Anxiety
Release 10 — day 7, dose 3
Systemic reaction (other): Anxiety
Release 12 — 6 months, dose 4
Symptoms: I had COVID in August. I had a cough, a sore throat, a fever of 101 degrees for four days and nasal congestion
Healthcare visit (other): My primary care physician
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Syncope | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release