5UD-71570-66901

2 vaccinations 11 coded responses 13 check-ins 11 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 943 / CA
Registered: 2021-02-17

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-08
Dose 1 — Moderna
2021-02-17
Registered in v-safe
2021-02-17
Survey response — day 7, dose 1
MedDRA: Peripheral swelling, Ultrasound scan — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Swelling in left leg started 2/10 · Healthcare visit (other): Ultrasound

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-22
Survey response — day 14, dose 1
MedDRA: Deep vein thrombosis, Peripheral swelling, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still have swelling in my left leg that had the DvTs (clots). Down from 2 weeks ago but still present. · Healthcare visit (other): Ultrasound

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-10
Survey response — day 28, dose 1
MedDRA: Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in left leg. · Healthcare visit (other): Went to see my doc in person.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Dose 2 — Moderna
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Still left leg pain where there was a DVT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Swelling · Be unable to do your normal daily activities

Free text: Still pain in left leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Acupuncture, Deep vein thrombosis, Pain in extremity, Peripheral swelling, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Still problems in DVT leg. Swelling. Pain. · Healthcare visit (other): Acupunture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Survey response — day 7, dose 2
MedDRA: Muscle spasms — Feeling: Poor · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Abductor spasm left leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — day 21, dose 2
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Fair

Free text: Left leg is still very sore and has some swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 28, dose 2
MedDRA: Inflammation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Left leg still has inflammation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Survey response — day 35, dose 2
MedDRA: Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still have left leg pain but getting less. · Healthcare visit (other): Doctor in office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call successful
Participant prefers to complete VAERS report online
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Office visit, Pain in extremity, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: With booster I had painful swelling in right leg. · Healthcare visit (other): Doc office

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-13
Call 1 — Could Not Reach Participant
2021-09-16
Call 2 — Left Voicemail
2022-03-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-12	Moderna

Call center

7 call center cases

6 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-17

Systemic reaction (other): Swelling in left leg started 2/10

Healthcare visit (other): Ultrasound

Release 4 — day 14, dose 1

2021-02-22

Symptoms: Still have swelling in my left leg that had the DvTs (clots). Down from 2 weeks ago but still present.

Healthcare visit (other): Ultrasound

Release 5 — day 28, dose 1

2021-03-10

Symptoms: Pain in left leg.

Healthcare visit (other): Went to see my doc in person.

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Still left leg pain where there was a DVT

2021-03-16

Systemic reaction (other): Still pain in left leg.

2021-03-17

Systemic reaction (other): Still problems in DVT leg. Swelling. Pain.

Healthcare visit (other): Acupunture

Release 6 — day 7, dose 2

2021-03-21

Systemic reaction (other): Abductor spasm left leg

Release 6 — day 21, dose 2

2021-04-04

Symptoms: Left leg is still very sore and has some swelling.

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Left leg still has inflammation.

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Still have left leg pain but getting less.

Healthcare visit (other): Doctor in office

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: With booster I had painful swelling in right leg.

Healthcare visit (other): Doc office

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	Acupuncture	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Ultrasound scan	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Deep vein thrombosis	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SRO	Deep vein thrombosis	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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