6FV-24596-28891
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 616 / IL
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Moderna
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-01
Dose 2 — Moderna
- 2021-04-07
- 2021-04-10
-
2021-04-15
Survey response — day 14, dose 2MedDRA: Arthralgia, Back pain, Hypoaesthesia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: About the 8th day after 2nd shot, I got lower left back pain a little different than I have had. Also I have horrible pain in myeft lower leg-like severe shin splints but I hadn't had any reason to have them. I am retired. L foot feels a little numbMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Survey response — day 21, dose 2MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pain in my left lower outer leg is not getting better. Had it now 11 days. Had #2 Moderna on April 1st in Yuma, AzMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Survey response — day 28, dose 2MedDRA: Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My left lower leg still hurts a lot · Healthcare visit (other): Family Doctor's officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-30
- 2022-04-03
-
2022-04-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — day 14, dose 2
Symptoms: About the 8th day after 2nd shot, I got lower left back pain a little different than I have had. Also I have horrible pain in myeft lower leg-like severe shin splints but I hadn't had any reason to have them. I am retired. L foot feels a little numb cut off by CDC
Release 7 — day 21, dose 2
Symptoms: Pain in my left lower outer leg is not getting better. Had it now 11 days. Had #2 Moderna on April 1st in Yuma, Az
Release 8 — day 28, dose 2
Symptoms: My left lower leg still hurts a lot
Healthcare visit (other): Family Doctor's 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release