6YL-31295-53838
1 vaccination
8 coded responses
12 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 296 / SC
- Registered
- 2021-12-04
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-02
Dose 1 — Moderna
-
2021-12-04
Registered in v-safe
- 2021-12-04
- 2021-12-05
-
2021-12-06
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Good · Headache, Joint pains, Muscle or body achesFree text: A little tingly in arms hands and legs feet occasionallyMedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Pain in legs and feet at intervalsMedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Survey response — days 1–6 daily, dose 1MedDRA: Discomfort, Pain in extremity — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painFree text: Pressure pain in legs feetMedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Survey response — day 7, dose 1MedDRA: Peripheral swelling — Feeling: Good · Joint pains, Muscle or body aches, Diarrhea, Abdominal painFree text: Swelling in leg foot especially morningsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-16
-
2021-12-23
Survey response — day 21, dose 1MedDRA: Emergency care, Erythema, Gait disturbance, Office visit, Pain, Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Left leg and foot swollen, red, hot, painfu difficulty walking. Went to Urgent Care Sunday, They sent me to ER to check for Bloodclot, ER sent me to Orthopedics, nothing Ortho can do. Saw family doctor today. Have to pick up antibiotics at pharmacy. · Healthcare visit (other): Also orthopedics and family doctor.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-12-27
-
2021-12-30
Survey response — day 28, dose 1MedDRA: Gait disturbance, Migraine, Office visit, Pain, Peripheral swelling, Vomiting — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Aching all over & migraine today, vomited x 2 on 12/25/21, leg and foot remains swollen. Difficulty walking in it. Can't we're wow all the way on. Taking antibiotics · Healthcare visit (other): And office visitMedDRA releases: 2024-11 · check-in free text available
-
2021-12-30
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-01-03
-
2022-01-06
Survey response — day 35, dose 1MedDRA: Ageusia, Anosmia, Laboratory test abnormal, Malaise — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I tested positive with a home test the day before I was due to get my 2nd vaccine. Jan 2Took a test at the health department Jan 3 and waiting in results. I have all the Covid symptoms except fever lost if taste and smell. It's been horribleMedDRA releases: 2024-11 · check-in free text available
-
2022-01-13
Survey response — day 42, dose 1MedDRA: COVID-19, Cough, Diarrhoea, Headache, Nausea, Oropharyngeal pain, Pain, Photophobia, SARS-CoV-2 test positive, Wheezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tested positive for Covid the day I was supposed to have my 2nd vaccine. All Covid symptoms headache light sensitivity, diarrhea, nausea, body aches, cough wheezes sore throat. May have been prior to the last checkin. I can't remember the date.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-02 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): A little tingly in arms hands and legs feet occasionally
Systemic reaction (other): Pain in legs and feet at intervals
Systemic reaction (other): Pressure pain in legs feet
Release 10 — day 7, dose 1
Systemic reaction (other): Swelling in leg foot especially mornings
Release 10 — day 21, dose 1
Symptoms: Left leg and foot swollen, red, hot, painfu difficulty walking. Went to Urgent Care Sunday, They sent me to ER to check for Bloodclot, ER sent me to Orthopedics, nothing Ortho can do. Saw family doctor today. Have to pick up antibiotics at pharmacy. cut off by CDC
Healthcare visit (other): Also orthopedics and family doctor.
Release 10 — day 28, dose 1
Symptoms: Aching all over & migraine today, vomited x 2 on 12/25/21, leg and foot remains swollen. Difficulty walking in it. Can't we're wow all the way on. Taking antibiotics
Healthcare visit (other): And office visit
Release 10 — day 35, dose 1
Symptoms: I tested positive with a home test the day before I was due to get my 2nd vaccine. Jan 2Took a test at the health department Jan 3 and waiting in results. I have all the Covid symptoms except fever lost if taste and smell. It's been horrible
Release 10 — day 42, dose 1
Symptoms: Tested positive for Covid the day I was supposed to have my 2nd vaccine. All Covid symptoms headache light sensitivity, diarrhea, nausea, body aches, cough wheezes sore throat. May have been prior to the last checkin. I can't remember the date.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Photophobia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release