YE8-27903-90443
4 vaccinations
4 coded responses
45 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 920 / CA
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Moderna
-
2021-02-16
Registered in v-safe
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Hypertension, Insomnia, Medical counselling — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: The past two days Ive felt anxious. I have a lot going on so it could be an anxiety attack but Ive had trouble sleeping. I spoke in the phone with a Kaiser nurse on Sunday night because my blood pressure was higher than usual. I ended up talking to the behavioral health clinic after that and they suggested several ways to ease anxiety. The anxious feeling started again last night and again in the middle of the night also. Its probably not relatedTo the vaccine but thought Id report it..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Eye swelling, Lacrimation increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: My left eye swelled and kept wateringMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
-
2021-03-31
Survey response — day 21, dose 2MedDRA: Anxiety, Cold sweat, Nightmare, Panic attack, Sleep terror — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I dont know if this is from the vaccine but 4 days after the 1st shot I had a very strong anxiety/panic attack. Then since Ive had the second, Ive had a few times where I woke up in a panic w/cold sweats. I also experienced night terrors&nightmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-07
- 2021-04-14
- 2021-04-22
- 2021-06-09
- 2021-06-09
- 2021-06-12
- 2021-09-10
-
2021-10-29
Dose 3 — Moderna
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-05
- 2021-11-13
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-30
-
2022-05-12
Dose 4 — Moderna
-
2022-05-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
-
2022-08-11
Survey response — 3 months, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I tested positive for Covid on June 30 2022.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-11
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-08-12
- 2022-08-12
- 2022-08-12
- 2022-11-10
- 2023-05-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-16 | Unsuccessful | |
| 2021-03-31 | Unsuccessful | |
| 2022-08-11 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): The past two days Ive felt anxious. I have a lot going on so it could be an anxiety attack but Ive had trouble sleeping. I spoke in the phone with a Kaiser nurse on Sunday night because my blood pressure was higher than usual. I ended up talking to the behavioral health clinic after that and they suggested several ways to ease anxiety. The anxious feeling started again last night and again in the middle of the night also. Its probably not relatedTo the vaccine but thought Id report it..
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): My left eye swelled and kept watering
Release 6 — day 21, dose 2
Symptoms: I dont know if this is from the vaccine but 4 days after the 1st shot I had a very strong anxiety/panic attack. Then since Ive had the second, Ive had a few times where I woke up in a panic w/cold sweats. I also experienced night terrors&nightm
Release 12 — 3 months, dose 4
Symptoms: I tested positive for Covid on June 30 2022.
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 | Cold sweat | ✓ | ✓ | ✓ |
| SD | Nightmare | ✓ | ✓ | ✓ |
| SD | Panic attack | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sleep terror | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release