ZYW-28138-39643
2 vaccinations
3 coded responses
28 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 902 / CA
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 2 — Moderna
-
2021-03-20
Registered in v-safe
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: This is actually my 2nd vaccine. I entered wrong date & cant fix it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-06-18
- 2021-09-17
-
2021-11-05
Dose 3 — Moderna
- 2021-11-06
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-28
-
2021-12-03
Survey response — day 28, dose 3MedDRA: Emergency care, Peripheral swelling, Skin discolouration — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Right foot swelled up for no reason then turned black. 6 days later. Went to ER. Took xrays & checked platelets then said i dont have a blood clot not to worry or do anything. My booster was given in right arm. My neighbor had same issue but also stMedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Report sent to call center — day 28, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-12-10
Survey response — day 35, dose 3MedDRA: Joint swelling, Peripheral swelling, Poor peripheral circulation, Skin discolouration, Varicose vein — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Turns out my circlation in my right leg has gone bad h i have vericose veins that hat havent popped out yet so standing for long hours at work is what caused my foot & ankle to swell up then turn black.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-12-13
- 2021-12-18
- 2022-02-04
- 2022-05-06
- 2022-11-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): This is actually my 2nd vaccine. I entered wrong date & cant fix it.
Release 10 — day 28, dose 3
Symptoms: Right foot swelled up for no reason then turned black. 6 days later. Went to ER. Took xrays & checked platelets then said i dont have a blood clot not to worry or do anything. My booster was given in right arm. My neighbor had same issue but also st cut off by CDC
Release 10 — day 35, dose 3
Symptoms: Turns out my circlation in my right leg has gone bad h i have vericose veins that hat havent popped out yet so standing for long hours at work is what caused my foot & ankle to swell up then turn black.
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 | Emergency care | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Poor peripheral circulation | · | · | ✓ |
| SD | Skin discolouration | · | · | ✓ |
| SD | Varicose vein | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release