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
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2021-04-17
Dose 1 — Moderna
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2021-05-11
Registered in v-safe
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2021-05-11
Survey response — day 21, dose 1MedDRA: 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 visitFree 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
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2021-05-11
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-15
Survey response — day 28, dose 1MedDRA: 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 visitFree 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 getMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-22
- 2021-05-29
- 2021-07-17
- 2021-10-20
- 2022-01-19
- 2022-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-11 | Unsuccessful | |
| 2021-05-15 | Unsuccessful |
Free text
Release 8 — day 21, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cold sweat | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release