ZS5-16741-40826
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 105 / NY
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Moderna
- 2021-02-24
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Joint pains · Be unable to do your normal daily activitiesFree text: I got the gout last night but I am prone to it. Really dont think shot had anything to do with causing itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-03-24
Dose 2 — Moderna
- 2021-03-24
- 2021-03-25
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Joint pains · Be unable to workFree text: Pain in right foot a day after shot. This happened with first shot too, same foot but I didnt think it had anything to do with shot. I do nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains · Be unable to workAdult check-in
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Gout, Pre-existing disease — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My gout got worse so I believe thats why I have symptoms aboveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Gout, Pain in extremity — Feeling: Fair · Chills, Joint pains · Be unable to work, Be unable to do your normal daily activitiesFree text: Felt much better than yesterday but now I am tired and back in bed. I do feel chilly. My foot is swollen (gout) and painful. I could eat todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Gout — Feeling: Fair · Joint pains · Be unable to work, Be unable to do your normal daily activitiesFree text: Still have gout in right footMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — day 7, dose 2MedDRA: Pain in extremity — Feeling: Fair · Joint painsFree text: My foot is getting better but still painful. I need another option between good and fair. I chise fair but I sm better than that but def not good yetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-06-23
- 2021-09-22
- 2022-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I got the gout last night but I am prone to it. Really dont think shot had anything to do with causing it
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in right foot a day after shot. This happened with first shot too, same foot but I didnt think it had anything to do with shot. I do now
Systemic reaction (other): My gout got worse so I believe thats why I have symptoms above
Systemic reaction (other): Felt much better than yesterday but now I am tired and back in bed. I do feel chilly. My foot is swollen (gout) and painful. I could eat today
Systemic reaction (other): Still have gout in right foot
Release 6 — day 7, dose 2
Systemic reaction (other): My foot is getting better but still painful. I need another option between good and fair. I chise fair but I sm better than that but def not good yet
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 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Gout | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release