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YHQ-82662-16066

1 vaccination 2 coded responses 7 check-ins 2 free-text entries 2 call cases
Sex
Male
Age at first dose
31-35
ZIP prefix
339 / FL
Registered
2021-05-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-17
    Dose 1 — Moderna
  2. 2021-05-11
    Registered in v-safe
  3. 2021-05-11
    Survey response — day 21, dose 1
    MedDRA: Cold sweat, Fall, Gait disturbance, Joint swelling, Muscular weakness, Peripheral swelling, Pyrexia, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: 4 days after vaccine I had cold sweats & vomiting. That night I started to experience bilateral foot & ankle swelling ,leg weakness and general fatigue. In the ensuing weeks it has gotten excessively worse. I can barely walk & have fallen many times.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-11
    Report sent to call center — day 21, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-05-15
    Survey response — day 28, dose 1
    MedDRA: Emergency care, Fall, Hypoaesthesia, Impaired work ability, Joint swelling, Muscular weakness, Peripheral swelling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Bilateral feet & ankle swelling. Left weakness. Numbness in both legs. Legs giving out & falling. Went to ER, they found nothing wrong. Tests all negative. Unable to work. On leave from job. Don't know how long I can continue to stay out before I get
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-15
    Report sent to call center — day 28, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-05-22
    Health check-in — day 35, dose 1
    Feeling: Poor
    Adult check-in
  8. 2021-05-29
    Health check-in — day 42, dose 1
    Feeling: Poor
    Adult check-in
  9. 2021-07-17
    Health check-in — 3 months, dose 1
    Feeling: Poor
    Adult check-in
  10. 2021-10-20
    Health check-in — 6 months, dose 1
    Feeling: Fair
    Adult check-in
  11. 2022-01-19
  12. 2022-04-17
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-17Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-11 Unsuccessful
2021-05-15 Unsuccessful

Free text

Release 8 — day 21, dose 1

2021-05-11

Symptoms: 4 days after vaccine I had cold sweats & vomiting. That night I started to experience bilateral foot & ankle swelling ,leg weakness and general fatigue. In the ensuing weeks it has gotten excessively worse. I can barely walk & have fallen many times. cut off by CDC

Release 8 — day 28, dose 1

2021-05-15

Symptoms: Bilateral feet & ankle swelling. Left weakness. Numbness in both legs. Legs giving out & falling. Went to ER, they found nothing wrong. Tests all negative. Unable to work. On leave from job. Don't know how long I can continue to stay out before I get cut off by CDC

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
SDCold sweat ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDFall ✓ ✓ ✓
SDGait disturbance ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDImpaired work ability ✓ ✓ ✓
SDJoint swelling ✓ ✓ ✓
SDMuscular weakness ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDVomiting ✓ ✓ ✓

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