YRM-10299-90029
2 vaccinations
4 coded responses
16 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 026 / MA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-25
-
2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-27
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-08
Survey response — day 14, dose 1MedDRA: Ear pain, Headache, Sinus disorder — Feeling: FairFree text: Sinus symptoms, a bad headache this morning, an earache as well which all did go away within a few hours except the sinus pressure to the left side of my face/ head area.Also my left 5th toe has felt numb? I ha e no idea if its related!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
-
2021-02-22
Dose 2 — Moderna
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-03-03
-
2021-03-08
Survey response — day 14, dose 2MedDRA: Panic attack — Feeling: Fair · Be unable to do your normal daily activitiesFree text: A panic attackMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Survey response — day 28, dose 2MedDRA: Panic attack — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Panic attacksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-26
Survey response — 3 months, dose 2MedDRA: Brain fog, Panic attack — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: I had been having panic attacks and brain fog since I received the second vaccine which I was not experiencing this before the vaccine, it has been very difficult, it has improved in the last couple weeks with the help of hydroxizine etcMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-26
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-29
-
2021-12-30
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-22 | Successful | Participant prefers to complete VAERS report online |
| 2021-05-26 | Successful 2021-12-30 |
Participant prefers to complete VAERS report online |
Free text
Release 3 — day 14, dose 1
Symptoms: Sinus symptoms, a bad headache this morning, an earache as well which all did go away within a few hours except the sinus pressure to the left side of my face/ head area.Also my left 5th toe has felt numb? I ha e no idea if its related!
Release 5 — day 14, dose 2
Symptoms: A panic attack
Release 6 — day 28, dose 2
Symptoms: Panic attacks
Release 8 — 3 months, dose 2
Symptoms: I had been having panic attacks and brain fog since I received the second vaccine which I was not experiencing this before the vaccine, it has been very difficult, it has improved in the last couple weeks with the help of hydroxizine etc
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 | Brain fog | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Panic attack | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release