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8WD-15938-14124

3 vaccinations 3 coded responses 3 check-ins 3 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
190 / PA
Registered
2022-03-10
Relationship
Adult relative or friend
Guardian
3SK-74148-63842
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-19
    Dose 1 — Moderna
  2. 2021-05-17
    Dose 2 — Moderna
  3. 2021-12-07
    Dose 3 — Moderna
  4. 2022-03-10
    Registered in v-safe
  5. 2022-03-10
    Survey response — 3 months, dose 3, dependent
    MedDRA: Arthralgia, Myalgia, Oedema peripheral, Quality of life decreased, Sciatica — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Greater pain in sciatica and knees. Also pain in thigh muscles (never had pain there before 2nd vaccine and booster) and lower legs (pain and leakage, which didn't have before 2nd vaccine and booster). Quality of life has been negatively affected.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-03-10
    Report sent to call center — 3 months, dose 3, dependent
    Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  7. 2022-03-11
  8. 2022-04-05
    Call successful
    Participant prefers to complete VAERS report online
  9. 2022-06-07
    Survey response — 6 months, dose 3, dependent
    MedDRA: Arthralgia, Medical counselling, Pain in extremity, Peripheral swelling, Sciatica — Feeling: Poor · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: More swelling in legs. More pain in lower legs (sometimes severe) and knees (sometimes severe) and thighs and sciatica. · Healthcare visit (other): Doctor's visit at home
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-06-07
    Report sent to call center — 6 months, dose 3, dependent
    Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  11. 2022-06-08
  12. 2022-06-08
  13. 2022-06-09
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  14. 2022-12-09
    Survey response — 12 months, dose 3, dependent
    MedDRA: Arthralgia, Pain in extremity, Peripheral swelling, Sciatica, Thyroid disorder — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: My Mom has continuing and often severe knee pain, pain in the thighs, pain in the lower legs, and sciatica pain. She has more leg swelling and has also developed a thyroid problem that never existed before the vaccines and boosters.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-12-09
    Report sent to call center — 12 months, dose 3, dependent
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  16. 2022-12-12
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-04-19Moderna No
22021-05-17Moderna No
32021-12-07Moderna No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 11 — 3 months, dose 3, dependent

2022-03-10

Symptoms: Greater pain in sciatica and knees. Also pain in thigh muscles (never had pain there before 2nd vaccine and booster) and lower legs (pain and leakage, which didn't have before 2nd vaccine and booster). Quality of life has been negatively affected.

Release 11 — 6 months, dose 3, dependent

2022-06-07

Symptoms: More swelling in legs. More pain in lower legs (sometimes severe) and knees (sometimes severe) and thighs and sciatica.
Healthcare visit (other): Doctor's visit at home

Release 12 — 12 months, dose 3, dependent

2022-12-09

Symptoms: My Mom has continuing and often severe knee pain, pain in the thighs, pain in the lower legs, and sciatica pain. She has more leg swelling and has also developed a thyroid problem that never existed before the vaccines and boosters.

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
HCVOMedical counselling · · ✓
SDArthralgia · · ✓
SDMyalgia · · ✓
SDOedema peripheral · · ✓
SDPain in extremity · · ✓
SDPeripheral swelling · · ✓
SDQuality of life decreased · · ✓
SDSciatica · · ✓
SDThyroid disorder · · ✓

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