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
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 1 — Moderna
-
2021-02-19
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: This is my second covid shot not the firstMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree 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
- 2021-02-21
- 2021-02-23
-
2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Hospice care — Feeling: GoodFree 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
- 2021-03-05
-
2021-05-23
Survey response — 3 months, dose 1MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Worsening joint pain from lupusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): This is my second covid shot not the first
Release 4 — days 1–6 daily, dose 1
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.
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Gait inability | ✓ | ✓ | ✓ |
| SRO | Hospice care | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release