2YR-30078-10720
4 vaccinations
3 coded responses
12 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 024 / MA
- Registered
- 2022-09-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-19
Dose 1 — Moderna
-
2021-05-17
Dose 2 — Moderna
-
2021-12-15
Dose 3 — Moderna
-
2022-09-19
Registered in v-safe
-
2022-09-19
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-10-03
-
2022-10-10
Survey response — day 21, dose 4MedDRA: Gait inability, Home care, Hospitalisation, Hypoaesthesia, Mobility decreased, Muscular weakness, Musculoskeletal disorder, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, HospitalizationFree text: Symptoms: Severe bilateral all over body numbness and tingling with body stea falling asleep - being unable to use (cannot wslk or use srms-hands-geetpickup anything$ · Healthcare visit (other): Hospital to home visitsMedDRA releases: 2024-11 · check-in free text available
-
2022-10-10
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
- 2022-10-11
-
2022-10-19
Survey response — day 28, dose 4MedDRA: Generalised oedema, Hospitalisation, Hypervolaemia, Lymphoedema, Weight increased — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Severe lymphedema-fluid weight gain/body swelling with fluid. Now in hospital - 9 days now since Tuesday 19/12 / on duretuc drip to remove fluid overload.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Survey response — day 35, dose 4MedDRA: Fall, Limb injury, Wound closure — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Took fall gauging hole bottom front leg - given 9 stitches to close woundMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Moderna | No |
| 2 | 2021-05-17 | Moderna | No |
| 3 | 2021-12-15 | Moderna | No |
| 4 | 2022-09-19 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — day 21, dose 4
Symptoms: Severe bilateral all over body numbness and tingling with body stea falling asleep - being unable to use (cannot wslk or use srms-hands-geetpickup anything$
Healthcare visit (other): Hospital to home visits
Release 12 — day 28, dose 4
Symptoms: Severe lymphedema-fluid weight gain/body swelling with fluid. Now in hospital - 9 days now since Tuesday 19/12 / on duretuc drip to remove fluid overload.
Release 12 — day 35, dose 4
Symptoms: Took fall gauging hole bottom front leg - given 9 stitches to close wound
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 | Home care | · | · | ✓ |
| HCVO | Hospitalisation | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Gait inability | · | · | ✓ |
| SD | Generalised oedema | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Hypervolaemia | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Limb injury | · | · | ✓ |
| SD | Lymphoedema | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Musculoskeletal disorder | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Weight increased | · | · | ✓ |
| SD | Wound closure | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release