Y66-24128-12157
1 vaccination
1 coded response
4 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 206 / MD
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-03-31
Registered in v-safe
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-09-22
Survey response — 6 months, dose 1MedDRA: Emergency care, Nerve injury, Office visit, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Nerve damage in my shoulders and both of my hands did not happen until recently after I got the shot you not have problems before I got the shop been going to my doctor we are trying to figure out what's going on. I have some more doctors appointment · Healthcare visit (other): Yes I did cuz I ended up having a urinary tract infection had to go to the ER and the first thing they do when you get in the ER is taking care of it then I did not have covidMedDRA releases: 2024-11 · check-in free text available
-
2021-09-22
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-22 | Unsuccessful |
Free text
Release 9 — 6 months, dose 1
Symptoms: Nerve damage in my shoulders and both of my hands did not happen until recently after I got the shot you not have problems before I got the shop been going to my doctor we are trying to figure out what's going on. I have some more doctors appointment cut off by CDC
Healthcare visit (other): Yes I did cuz I ended up having a urinary tract infection had to go to the ER and the first thing they do when you get in the ER is taking care of it then I did not have covid
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 | Emergency care | · | · | ✓ |
| HCVO | Urinary tract infection | · | · | ✓ |
| SD | Nerve injury | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release