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
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2020-12-29
Dose 1 — Moderna
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2021-01-03
Registered in v-safe
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: 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 visitFree 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
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2021-01-03
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Muscular weakness, Paraesthesia — Feeling: Fair · Joint pains · Be unable to do your normal daily activitiesFree text: Tingling in feet, weakness knees down.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-05
Survey response — day 7, dose 1MedDRA: Limb discomfort, Muscular weakness, Paraesthesia — Feeling: Fair · Site: Redness, Itching · Joint pains · Be unable to do your normal daily activitiesFree text: Tingling feet, hands and back of upper legs. Knees feel heavy and weakMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-05
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-14
Survey response — day 14, dose 1MedDRA: 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 consultationFree 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
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2021-01-14
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-20
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2021-01-26
Survey response — day 28, dose 1MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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
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2021-01-26
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-02
Survey response — day 35, dose 1MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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
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2021-02-02
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-02
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2021-02-09
Survey response — day 42, dose 1MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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
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2021-02-09
Report sent to call center — day 42, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-30
Survey response — 3 months, dose 1MedDRA: Arthralgia, Hypoaesthesia, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Continued numbness/tingling lower extremities and joint pain. New tingling in upper extremity/fingersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-16
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2021-06-29
Survey response — 6 months, dose 1MedDRA: Asthenia, Hypoaesthesia, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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
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2021-06-29
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-02
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2021-12-30
Survey response — 12 months, dose 1MedDRA: Guillain-Barre syndrome, Hypoaesthesia, Neuralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Numbness, nerve pain. Neurologist believes Gullian barre syndromeMedDRA releases: 2024-11 · check-in free text available
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2021-12-30
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna |
Call center
10 call center cases
5 successful · 5 unsuccessful
VAERS report filed, before or during a call: 5
Free text
Release 1 — days 1–6 daily, dose 1
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.
Systemic reaction (other): Tingling in feet, weakness knees down.
Release 1 — day 7, dose 1
Systemic reaction (other): Tingling feet, hands and back of upper legs. Knees feel heavy and weak
Release 1 — day 14, dose 1
Symptoms: MRI test- normal. Continuing to have numbness and tingling. Joint aches.
Healthcare visit (other): MRI test- normal.
Release 2 — day 28, dose 1
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
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
Symptoms: Continuing to have joint pain (never had joint pain previously before vaccine)
Release 6 — 3 months, dose 1
Symptoms: Continued numbness/tingling lower extremities and joint pain. New tingling in upper extremity/fingers
Release 9 — 6 months, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Magnetic resonance imaging normal | ○ | ✓ | ○ |
| HCVO | Unevaluable event | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Guillain-Barre syndrome | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Magnetic resonance imaging normal | ○ | ✓ | ○ |
| SD | Neuralgia | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Specialist consultation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release