425-14637-32043
1 vaccination
4 coded responses
4 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 329 / FL
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-03-22
Registered in v-safe
-
2021-03-22
Survey response — day 21, dose 1MedDRA: Blood test abnormal, Chronic kidney disease, Oedema peripheral — Feeling: Poor · 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: Received my second dose 2/26/21, first dose 1/29/2021. I am now in 3b kidney disease for my blood work. Kidney function was normal in early winter no signs of decreased kidney function prior to vaccine. Edema in hands and feet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-30
Survey response — 3 months, dose 1MedDRA: Peripheral swelling, Renal impairment — Feeling: Poor · 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 visitFree text: Kidney dysfunction LE swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-30
Report sent to call center — 3 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-31
Survey response — 6 months, dose 1MedDRA: Headache, Oedema, Renal impairment, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Severe headaches. Continue to have edema and kidney fluctuations between 3b and normal · Healthcare visit (other): Waiting on appt in Sept at Mayo clinicMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-31
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-01
-
2022-02-28
Survey response — 12 months, dose 1MedDRA: Headache, Neuropathy peripheral, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Kidney levels back in CKD 3 Neuropathy HeadachesMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 6 — day 21, dose 1
Symptoms: Received my second dose 2/26/21, first dose 1/29/2021. I am now in 3b kidney disease for my blood work. Kidney function was normal in early winter no signs of decreased kidney function prior to vaccine. Edema in hands and feet.
Release 8 — 3 months, dose 1
Symptoms: Kidney dysfunction LE swelling
Release 9 — 6 months, dose 1
Symptoms: Severe headaches. Continue to have edema and kidney fluctuations between 3b and normal
Healthcare visit (other): Waiting on appt in Sept at Mayo clinic
Release 11 — 12 months, dose 1
Symptoms: Kidney levels back in CKD 3 Neuropathy Headaches
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Blood test abnormal | ✓ | ✓ | ✓ |
| SD | Chronic kidney disease | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Oedema | ✓ | · | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Renal impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release