YP6-45066-60200
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 297 / SC
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Moderna
-
2021-04-12
Registered in v-safe
- 2021-04-15
- 2021-04-21
- 2021-04-29
-
2021-05-05
Dose 2 — Moderna
- 2021-05-05
- 2021-05-06
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling, Poor quality product administered, Skin discolouration, Thrombosis — Feeling: GoodFree text: Blood clots, small dark places round it and then little swelling under foots when you wake up in the morning. COVID-19 vaccine was cloudy when i got it and the first was clear and not problems.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Joint swelling, Thrombosis — Feeling: GoodFree text: Yesterday blood clots on right leg, swollen ankles. Today left ankle starting to swell.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Thrombosis — Feeling: GoodFree text: Blood clots are going down and make an appointment with Dotor MondayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
-
2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling, Self-medication, Thrombosis — Feeling: GoodFree text: Appointment 5/20/20 feet swollen feet gone down and blood clot with Ibuprofen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Survey response — day 7, dose 2MedDRA: Swelling, Thrombosis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Doctor appointment on the 5/20/21 · Healthcare visit (other): Swelling went down and blood clots left except 1 small. Got appointment to check it out.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-19
- 2021-05-26
- 2021-06-03
- 2021-06-09
- 2021-06-18
- 2021-08-05
- 2021-11-03
- 2022-04-18
- 2022-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-12 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Blood clots, small dark places round it and then little swelling under foots when you wake up in the morning. COVID-19 vaccine was cloudy when i got it and the first was clear and not problems.
Systemic reaction (other): Yesterday blood clots on right leg, swollen ankles. Today left ankle starting to swell.
Systemic reaction (other): Blood clots are going down and make an appointment with Dotor Monday
Systemic reaction (other): Appointment 5/20/20 feet swollen feet gone down and blood clot with Ibuprofen.
Release 8 — day 7, dose 2
Systemic reaction (other): Doctor appointment on the 5/20/21
Healthcare visit (other): Swelling went down and blood clots left except 1 small. Got appointment to check it out.
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 | Swelling | ✓ | ✓ | ✓ |
| HCVO | Thrombosis | ✓ | ✓ | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Poor quality product administered | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Skin discolouration | ✓ | ✓ | ✓ |
| SRO | Thrombosis | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release