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5WY-11335-03250

1 vaccination 6 coded responses 8 check-ins 6 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
342 / FL
Registered
2021-03-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Dose 1 — Moderna
  2. 2021-03-13
    Registered in v-safe
  3. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Confusional state, Movement disorder, Pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): 2bd day pain severe and could hardly move all parts of body · Healthcare visit (other): Couldnt drive cause of severe pain & confusion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-13
    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)
  5. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Confusional state, Dizziness, Somnolence — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Confusion, dizziness, sleepiness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: Pain WAS all over body but today is mostly all on left side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-18
    Survey response — day 7, dose 1
    MedDRA: Injection site swelling — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: The swelling is not on the shot site but under it about six inches long
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-26
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-04-01
    Survey response — day 21, dose 1
    MedDRA: Joint swelling, Office visit, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Not sure connected but both feet and ankles swollen for three days · Healthcare visit (other): Dr visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-01
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-04-08
    Survey response — day 28, dose 1
    MedDRA: Joint swelling, Office visit, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Swollen feet and ankles. Swollen for 3 days and ice and elevation didnt help. Finally went away but after couple days swelled again · Healthcare visit (other): In office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-08
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-06-08
  14. 2021-06-08
  15. 2021-06-08
  16. 2021-06-12
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): 2bd day pain severe and could hardly move all parts of body
Healthcare visit (other): Couldnt drive cause of severe pain & confusion

2021-03-14

Systemic reaction (other): Confusion, dizziness, sleepiness

2021-03-15

Systemic reaction (other): Pain WAS all over body but today is mostly all on left side

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): The swelling is not on the shot site but under it about six inches long

Release 6 — day 21, dose 1

2021-04-01

Symptoms: Not sure connected but both feet and ankles swollen for three days
Healthcare visit (other): Dr visit

Release 7 — day 28, dose 1

2021-04-08

Symptoms: Swollen feet and ankles. Swollen for 3 days and ice and elevation didnt help. Finally went away but after couple days swelled again
Healthcare visit (other): In office

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

FieldPreferred term2021-092023-042024-11
HCVOConfusional state ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
HCVOPain ✓ ✓ ✓
SDJoint swelling ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SROConfusional state ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROMovement disorder ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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