5WH-93469-52192
5 vaccinations
9 coded responses
55 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 200 / DC
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-03-25
Registered in v-safe
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-04-25
- 2021-04-26
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
-
2021-07-22
Survey response — 3 months, dose 2MedDRA: Abnormal weight gain, Musculoskeletal stiffness, Peripheral swelling, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have had swelling in my legs.My left thigh has increased in size, noticeably larger than my right thigh. Initially both legs became swollen and tight. I gained 30 pounds after the last shot. It was sudden. · Healthcare visit (other): I made an appointment. I have not seen the doctor yet.MedDRA releases: 2024-11 · check-in free text available
-
2021-07-22
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-28
Call successfulParticipant prefers to complete VAERS report online
-
2021-10-22
Survey response — 6 months, dose 2MedDRA: Office visit, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Left thigh swelling has not completely subsided. Swelling in both legs has gone down. Right leg back to normal. Left lower leg back to normal. Left thigh is larger than right thigh, not normal. · Healthcare visit (other): Doctor's visit. Doctor ordered tests.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-22
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-26
- 2021-10-27
-
2021-10-27
Callback requested for10:30AM ET
-
2021-11-12
Dose 3 — ModernaCo-administered: Flu:Shingles
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · HeadacheAdult check-in
-
2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · HeadacheAdult check-in
- 2021-11-16
- 2021-11-17
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Peripheral swelling — Feeling: Fair · HeadacheFree text: Swollen LegsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Survey response — day 7, dose 3MedDRA: Peripheral swelling — Feeling: Fair · HeadacheFree text: Swelling in both legsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-26
Survey response — day 14, dose 3MedDRA: Somnolence — Feeling: FairFree text: Sleepiness. I have been sleeping for several hours throughout day. I am then very sleepy at bedtime.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2021-12-10
- 2021-12-18
- 2021-12-24
- 2022-02-11
- 2022-05-15
-
2022-07-02
Dose 4 — Moderna
-
2022-07-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2022-07-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2022-07-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2022-07-09
Survey response — day 7, dose 4MedDRA: Peripheral swelling — Feeling: Fair · Headache, Fatigue or tirednessFree text: Swelling of legsMedDRA releases: 2024-11 · check-in free text available
- 2022-07-16
-
2022-07-23
Survey response — day 21, dose 4MedDRA: Peripheral swelling — Feeling: FairFree text: Leg swellingMedDRA releases: 2024-11 · check-in free text available
- 2022-07-30
- 2022-08-07
- 2022-08-14
- 2022-10-04
-
2022-11-16
Dose 5 — Moderna
-
2022-11-22
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2022-11-24
-
2022-11-30
Survey response — day 14, dose 5MedDRA: Peripheral swelling — Feeling: FairFree text: Swollen legs/thighsMedDRA releases: 2024-11 · check-in free text available
- 2022-12-07
- 2022-12-15
- 2022-12-22
- 2022-12-28
- 2023-02-15
- 2023-05-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-11-12 | Moderna | Flu:Shingles |
| 4 | 2022-07-02 | Moderna | No |
| 5 | 2022-11-16 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 9 — 3 months, dose 2
Symptoms: I have had swelling in my legs.My left thigh has increased in size, noticeably larger than my right thigh. Initially both legs became swollen and tight. I gained 30 pounds after the last shot. It was sudden.
Healthcare visit (other): I made an appointment. I have not seen the doctor yet.
Release 10 — 6 months, dose 2
Symptoms: Left thigh swelling has not completely subsided. Swelling in both legs has gone down. Right leg back to normal. Left lower leg back to normal. Left thigh is larger than right thigh, not normal.
Healthcare visit (other): Doctor's visit. Doctor ordered tests.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen Legs
Release 10 — day 7, dose 3
Systemic reaction (other): Swelling in both legs
Release 10 — day 14, dose 3
Symptoms: Sleepiness. I have been sleeping for several hours throughout day. I am then very sleepy at bedtime.
Release 12 — day 7, dose 4
Systemic reaction (other): Swelling of legs
Release 12 — day 21, dose 4
Symptoms: Leg swelling
Release 12 — day 14, dose 5
Symptoms: Swollen legs/thighs
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 | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abnormal weight gain | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release