PYS-18218-65929
2 vaccinations
2 coded responses
3 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 112 / NY
- Registered
- 2021-09-12
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
H3C-15002-15972
Child or adolescent in my care · Female · 2021-09-12
Timeline
-
2021-06-01
Dose 1 — Moderna
-
2021-07-16
Dose 2 — Moderna
-
2021-09-12
Registered in v-safe
-
2021-10-17
Survey response — 3 months, dose 2MedDRA: Pain in extremity — Feeling: FairFree text: Pain in my left heel.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-14
-
2022-07-16
Survey response — 12 months, dose 2MedDRA: Office visit, Pain in extremity — Feeling: Poor · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Sore feet for almost a year · Healthcare visit (other): PodiatristMedDRA releases: 2024-11 · check-in free text available
-
2022-07-16
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-07-19
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-01 | Moderna | No |
| 2 | 2021-07-16 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 10 — 3 months, dose 2
Symptoms: Pain in my left heel.
Release 12 — 12 months, dose 2
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 | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release