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YGR-21305-29522

1 vaccination 4 coded responses 7 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
216 / MD
Registered
2021-02-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-19
    Registered in v-safe
  2. 2021-02-19
    Dose 1 — Moderna
  3. 2021-02-19
    Survey response — day 0, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: This is my second covid shot not the first
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Decreased appetite, Gait inability, Hypersomnia, Muscle twitching — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My mother is 85 years old and in an assisted living facility. She has Alzheimers disease. Since getting her second covid. Scummed 6 days ago she has lost the ability to walk. She is sleeping almost all the time and eating and drinking much less. Please let me know if this could be from the vaccine. She has no fever and stable vital signs. Her had and foot were twitching yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Joint pains
    Adult check-in
  6. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hospice care — Feeling: Good
    Free text: My mother is now on hospice since receiving the vaccine. Please someone call me so I can report this! (b)(6)!!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-05
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-05-23
    Survey response — 3 months, dose 1
    MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: Worsening joint pain from lupus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-19Moderna

Free text

Release 4 — day 0, dose 1

2021-02-19

Systemic reaction (other): This is my second covid shot not the first

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): My mother is 85 years old and in an assisted living facility. She has Alzheimers disease. Since getting her second covid. Scummed 6 days ago she has lost the ability to walk. She is sleeping almost all the time and eating and drinking much less. Please let me know if this could be from the vaccine. She has no fever and stable vital signs. Her had and foot were twitching yesterday.

2021-02-24

Systemic reaction (other): My mother is now on hospice since receiving the vaccine. Please someone call me so I can report this! (b)(6)!!
redacted (b)(6)

Release 8 — 3 months, dose 1

2021-05-23

Symptoms: Worsening joint pain from lupus

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
SDArthralgia ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROGait inability ✓ ✓ ✓
SROHospice care ✓ ✓ ✓
SROHypersomnia ✓ ✓ ✓
SROMuscle twitching ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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