YNB-29134-35691

2 vaccinations 16 coded responses 26 check-ins 16 free-text entries 7 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 430 / OH
Registered: 2021-03-15

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-13
Dose 1 — Moderna
2021-03-15
Registered in v-safe
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Nightmare — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Nightmares

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis, Mood swings, Nightmare — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sweats - moderate. Extreme nightmares. Mental mood swings - moderate. Have begun to consider professional help.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Daydreaming, Nightmare, Panic attack — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: High anxiety / panic attacks, nightmares, day-mares

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
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)
2021-03-20
Survey response — day 7, dose 1
MedDRA: Anxiety, Panic attack — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Anxiety / panic attacks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 14, dose 1
MedDRA: Anxiety, Emergency care, Head discomfort, Medical counselling, Nightmare, Office visit, Panic attack, Specialist consultation, Tension headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Symptoms: Continued severe anxiety, multiple panic attacks per day, daily nightmares, constant pressure headache. Went to emergency room, primary care doc, and talked with psychiatrist. · Healthcare visit (other): In-office primary care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 14, 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)
2021-04-03
Survey response — day 21, dose 1
MedDRA: Anxiety, Headache, Panic attack — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Headache is worse 9 of 10 pain. Anxiety remains moderate to severe. 3-5 panic attacks per day. New meds partially help. Terrified to get 2nd Moderna dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 21, 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)
2021-04-10
Survey response — day 28, dose 1
MedDRA: Anxiety, Headache, Panic attack — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, 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: Headache 9/10, anxiety (moderate to severe), spontaneous panic attacks daily persist. Getting desperate for relief.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 28, 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)
2021-04-17
Survey response — day 35, dose 1
MedDRA: Balance disorder, Headache, Nightmare, Tinnitus — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, 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: Headache, tinnitus, terrifying thoughts/nightmares, off balance. All severe. Doctors are dismissing symptoms. Unsure how long I can withstand these symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 35, 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)
2021-04-24
Survey response — day 42, dose 1
MedDRA: Fatigue, Headache, Memory impairment, Panic attack — Feeling: Poor · 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

Free text: Memory issues, fatigue, piercing headache, panic attacks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 42, 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)
2021-04-27
Dose 2 — Janssen/Johnson & Johnson
2021-04-27
Survey response — day 0, dose 2
MedDRA: Panic attack — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Panic attacks daily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 0, dose 2
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)
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Panic attack — Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Panic attacks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Panic attack — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Spontaneous panic attacks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Panic attack — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Spontaneous panic attacks daily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 7, dose 2
MedDRA: Panic attack — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Spontaneous panic attacks daily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 14, dose 2
MedDRA: Agitation, Anxiety, Influenza like illness — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Flu like symptoms increasing in severity. Agitation and anxiety also increasing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 21, dose 2
MedDRA: Headache, Panic attack — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Constant severe headache, daily spontaneous panic attacks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-05-27
Call 1 — Left Voicemail
2021-06-01
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-06-08
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-10-26
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2022-04-27
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Moderna
2	2021-04-27	Janssen/Johnson & Johnson

Call center

Reported	Outcome	VAERS-related outcome
2021-03-19	Unsuccessful
2021-03-27	Unsuccessful
2021-04-03	Unsuccessful
2021-04-10	Unsuccessful
2021-04-17	Unsuccessful
2021-04-24	Unsuccessful
2021-04-27	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Nightmares

2021-03-18

Systemic reaction (other): Sweats - moderate. Extreme nightmares. Mental mood swings - moderate. Have begun to consider professional help.

2021-03-19

Systemic reaction (other): High anxiety / panic attacks, nightmares, day-mares

Release 6 — day 7, dose 1

2021-03-20

Systemic reaction (other): Anxiety / panic attacks

Release 6 — day 14, dose 1

2021-03-27

Symptoms: Continued severe anxiety, multiple panic attacks per day, daily nightmares, constant pressure headache. Went to emergency room, primary care doc, and talked with psychiatrist.

Healthcare visit (other): In-office primary care

Release 6 — day 21, dose 1

2021-04-03

Symptoms: Headache is worse 9 of 10 pain. Anxiety remains moderate to severe. 3-5 panic attacks per day. New meds partially help. Terrified to get 2nd Moderna dose.

Release 7 — day 28, dose 1

2021-04-10

Symptoms: Headache 9/10, anxiety (moderate to severe), spontaneous panic attacks daily persist. Getting desperate for relief.

Release 7 — day 35, dose 1

2021-04-17

Symptoms: Headache, tinnitus, terrifying thoughts/nightmares, off balance. All severe. Doctors are dismissing symptoms. Unsure how long I can withstand these symptoms.

Release 7 — day 42, dose 1

2021-04-24

Symptoms: Memory issues, fatigue, piercing headache, panic attacks.

Release 8 — day 0, dose 2

2021-04-27

Systemic reaction (other): Panic attacks daily

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Panic attacks

2021-05-01

Systemic reaction (other): Spontaneous panic attacks

2021-05-03

Systemic reaction (other): Spontaneous panic attacks daily

Release 8 — day 7, dose 2

2021-05-04

Systemic reaction (other): Spontaneous panic attacks daily

Release 8 — day 14, dose 2

2021-05-11

Symptoms: Flu like symptoms increasing in severity. Agitation and anxiety also increasing.

Release 8 — day 21, dose 2

2021-05-18

Symptoms: Constant severe headache, daily spontaneous panic attacks.

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	Agitation	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Head discomfort	○	✓	○
SD	Headache	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Medical counselling	✓	·	✓
SD	Memory impairment	✓	✓	✓
SD	Nightmare	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Panic attack	✓	✓	✓
SD	Specialist consultation	○	✓	○
SD	Tension headache	✓	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Daydreaming	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Mood swings	✓	✓	✓
SRO	Nightmare	✓	✓	✓
SRO	Panic attack	✓	✓	✓

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