26G-32887-94530
4 vaccinations
2 coded responses
8 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 484 / MI
- Registered
- 2022-09-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-22
Dose 1 — Moderna
-
2021-03-22
Dose 2 — Moderna
-
2021-11-06
Dose 3 — Moderna
-
2022-09-04
Dose 4 — Moderna
-
2022-09-17
Registered in v-safe
- 2022-09-17
- 2022-09-18
-
2022-09-25
Survey response — day 21, dose 4MedDRA: Adverse reaction, Arthritis, Immunisation reaction, Myalgia, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Muscles aches that will not stop in both shoulders and upper part of both thighs. My Dr. said the vaccine triggered arthritis now I have to go to a specialist and have therapy. All because Moderna Booster #2 has messed with my body. This started Sept · Healthcare visit (other): My family doctorMedDRA releases: 2024-11 · check-in free text available
-
2022-09-25
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-09-27
-
2022-09-27
Call successfulCompleted over the phone
-
2022-10-02
Survey response — day 28, dose 4MedDRA: Myalgia, Office visit — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My Dr. said the Booster attacked my muscles making it appear that I have RHEUMATOID! Blood tests affirm that I do NOT have RHEUMATOID but have been referred to a specialist for treatment for extreme pain in 4 muscle areas. · Healthcare visit (other): Doctor's office twiceMedDRA releases: 2024-11 · check-in free text available
-
2022-10-02
Report sent to call center — day 28, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-10-04
- 2022-10-09
-
2022-10-11
Call successfulParticipant prefers to complete VAERS report online
- 2022-10-16
- 2022-12-04
- 2023-03-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Moderna | No |
| 2 | 2021-03-22 | Moderna | No |
| 3 | 2021-11-06 | Moderna | No |
| 4 | 2022-09-04 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 12 — day 21, dose 4
Symptoms: Muscles aches that will not stop in both shoulders and upper part of both thighs. My Dr. said the vaccine triggered arthritis now I have to go to a specialist and have therapy. All because Moderna Booster #2 has messed with my body. This started Sept cut off by CDC
Healthcare visit (other): My family doctor
Release 12 — day 28, dose 4
Symptoms: My Dr. said the Booster attacked my muscles making it appear that I have RHEUMATOID! Blood tests affirm that I do NOT have RHEUMATOID but have been referred to a specialist for treatment for extreme pain in 4 muscle areas.
Healthcare visit (other): Doctor's office twice
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 | Office visit | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Immunisation reaction | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release