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4MQ-63553-08049

1 vaccination 10 coded responses 11 check-ins 10 free-text entries 10 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
303 / GA
Registered
2021-01-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Dose 1 — Moderna
  2. 2021-01-03
    Registered in v-safe
  3. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Emergency care, Erythema, Hypoaesthesia, Muscular weakness, Neuropathy peripheral, Pain in extremity, Paraesthesia, Peripheral swelling, Specialist consultation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Numbness and tingling in feet Started 12 hours post vaccine. The next morning had tingling/weakness from knees down (12/30). Legs feel like Jelly/weak. Knees intermittently achy. Starting 1/2 had some tingling by butt down to back of knee along with other symptoms. Went to ER today (1/3) to R/o GBS. Neurology MD said likely neuropathy related to vaccine. The day after vaccine my arm was extremely sore, swollen, red. Lasted about 3-4 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-03
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscular weakness, Paraesthesia — Feeling: Fair · Joint pains · Be unable to do your normal daily activities
    Free text: Tingling in feet, weakness knees down.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-04
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  7. 2021-01-05
    Survey response — day 7, dose 1
    MedDRA: Limb discomfort, Muscular weakness, Paraesthesia — Feeling: Fair · Site: Redness, Itching · Joint pains · Be unable to do your normal daily activities
    Free text: Tingling feet, hands and back of upper legs. Knees feel heavy and weak
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-05
    Report sent to call center — day 7, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  9. 2021-01-14
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Hypoaesthesia, Magnetic resonance imaging normal, Paraesthesia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: MRI test- normal. Continuing to have numbness and tingling. Joint aches. · Healthcare visit (other): MRI test- normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-14
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-01-20
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-01-26
    Survey response — day 28, dose 1
    MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Still continuing to have joint pain. Completed a steroid pack last week (joint pain was better when on the steroid pack and now its worse again). Joint pain mostly in knees and ankles.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-26
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-02-02
    Survey response — day 35, dose 1
    MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Joint pain worsened after finishing steroid pack (never had joint pain prior to having vaccine). Saw pcp on Jan 29 they drew labs- all came back normal (including autoimmune tests).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-02
    Report sent to call center — day 35, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-02-02
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  17. 2021-02-09
    Survey response — day 42, dose 1
    MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Continuing to have joint pain (never had joint pain previously before vaccine)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-09
    Report sent to call center — day 42, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-03-30
    Survey response — 3 months, dose 1
    MedDRA: Arthralgia, Hypoaesthesia, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Continued numbness/tingling lower extremities and joint pain. New tingling in upper extremity/fingers
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-30
    Report sent to call center — 3 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-06-16
  22. 2021-06-29
    Survey response — 6 months, dose 1
    MedDRA: Asthenia, Hypoaesthesia, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Continue to have numbness/tingling in lower extremities. Saw a new neurologist that believes I had Guillain Barre from vaccine. Reflexes in ankles are not as strong as knee reflexes. Big toe strength weakened. EMG scheduled in a few weeks.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-29
    Report sent to call center — 6 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-07-02
  25. 2021-12-30
    Survey response — 12 months, dose 1
    MedDRA: Guillain-Barre syndrome, Hypoaesthesia, Neuralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Numbness, nerve pain. Neurologist believes Gullian barre syndrome
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-12-30
    Report sent to call center — 12 months, dose 1
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  27. 2022-01-05

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna

Call center

10 call center cases

5 successful · 5 unsuccessful

VAERS report filed, before or during a call: 5

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Numbness and tingling in feet Started 12 hours post vaccine. The next morning had tingling/weakness from knees down (12/30). Legs feel like Jelly/weak. Knees intermittently achy. Starting 1/2 had some tingling by butt down to back of knee along with other symptoms. Went to ER today (1/3) to R/o GBS. Neurology MD said likely neuropathy related to vaccine. The day after vaccine my arm was extremely sore, swollen, red. Lasted about 3-4 days.

2021-01-04

Systemic reaction (other): Tingling in feet, weakness knees down.

Release 1 — day 7, dose 1

2021-01-05

Systemic reaction (other): Tingling feet, hands and back of upper legs. Knees feel heavy and weak

Release 1 — day 14, dose 1

2021-01-14

Symptoms: MRI test- normal. Continuing to have numbness and tingling. Joint aches.
Healthcare visit (other): MRI test- normal.

Release 2 — day 28, dose 1

2021-01-26

Symptoms: Still continuing to have joint pain. Completed a steroid pack last week (joint pain was better when on the steroid pack and now its worse again). Joint pain mostly in knees and ankles.

Release 3 — day 35, dose 1

2021-02-02

Symptoms: Joint pain worsened after finishing steroid pack (never had joint pain prior to having vaccine). Saw pcp on Jan 29 they drew labs- all came back normal (including autoimmune tests).

Release 3 — day 42, dose 1

2021-02-09

Symptoms: Continuing to have joint pain (never had joint pain previously before vaccine)

Release 6 — 3 months, dose 1

2021-03-30

Symptoms: Continued numbness/tingling lower extremities and joint pain. New tingling in upper extremity/fingers

Release 9 — 6 months, dose 1

2021-06-29

Symptoms: Continue to have numbness/tingling in lower extremities. Saw a new neurologist that believes I had Guillain Barre from vaccine. Reflexes in ankles are not as strong as knee reflexes. Big toe strength weakened. EMG scheduled in a few weeks.

Release 10 — 12 months, dose 1

2021-12-30

Symptoms: Numbness, nerve pain. Neurologist believes Gullian barre syndrome

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

FieldPreferred term2021-092023-042024-11
HCVOMagnetic resonance imaging normal ○ ✓ ○
HCVOUnevaluable event ✓ · ✓
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDGuillain-Barre syndrome · · ✓
SDHypoaesthesia ✓ ✓ ✓
SDMagnetic resonance imaging normal ○ ✓ ○
SDNeuralgia · · ✓
SDOffice visit · · ✓
SDParaesthesia ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓
SRONeuropathy peripheral ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROSpecialist consultation ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release