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Y7C-13274-39613

2 vaccinations 4 coded responses 9 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
305 / GA
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Registered in v-safe
  2. 2021-01-14
    Dose 1 — Moderna
  3. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  6. 2021-01-21
    Survey response — day 7, dose 1
    MedDRA: Diarrhoea — Feeling: Good · Diarrhea
    Free text: Diarrhea intermittently running x 1 week. I have talked with a dozen people who had the Moderna same time I did. Two more have had diarrhea-one just had her doctor call in Lomotil today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-11
    Dose 2 — Moderna
  10. 2021-04-15
    Survey response — 3 months, dose 1
    MedDRA: Arthralgia, Fatigue, Feeling abnormal, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Extreme fatigue Foggy headedJoint aching all over my bodyIncrease 100 fold in basal and squamous cell carcinoma spots all over my body.Had 21 froze last week 10 yesterday 7 biopsies.Shot did something to my IMMUNE System. · Healthcare visit (other): In office visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-15
    Report sent to call center — 3 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-08-12
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Bone pain, Discomfort, Office visit, Sciatica — Feeling: Poor · Be unable to work or attend school, Be unable to do your 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: Symptoms: I have had joint pain, knee discomfort and CONSTANT aching to the bone in my left femur.I Have had intermittent sciatica since April.Have been seen five times in the last 3 1/2 weeks by chiropractor.Covid Vaccine RELATED to bone and muscles. · Healthcare visit (other): Chiropractor
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-08-12
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  14. 2021-08-14
    Call successful
    Participant prefers to complete VAERS report online
  15. 2022-02-11
    Survey response — 12 months, dose 2
    MedDRA: Bone atrophy, Exercise tolerance decreased, Gait disturbance, Office visit, Unevaluable event — Feeling: Poor · 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: Symptoms: Deterioration of bone in my left hip joint. Which has greatly affected my walking, in my ability to go ,my exercise. Have had 15 chiropractic visits. Two orthopedic visits. · Healthcare visit (other): MRIs and x-rays
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-02-11
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  17. 2022-02-14

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-04-15 Successful Participant prefers to complete VAERS report online
2021-08-12 Successful
2021-08-14
Participant prefers to complete VAERS report online
2022-02-11 Unsuccessful

Free text

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Diarrhea intermittently running x 1 week. I have talked with a dozen people who had the Moderna same time I did. Two more have had diarrhea-one just had her doctor call in Lomotil today.

Release 7 — 3 months, dose 1

2021-04-15

Symptoms: Extreme fatigue Foggy headedJoint aching all over my bodyIncrease 100 fold in basal and squamous cell carcinoma spots all over my body.Had 21 froze last week 10 yesterday 7 biopsies.Shot did something to my IMMUNE System.
Healthcare visit (other): In office visit

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: I have had joint pain, knee discomfort and CONSTANT aching to the bone in my left femur.I Have had intermittent sciatica since April.Have been seen five times in the last 3 1/2 weeks by chiropractor.Covid Vaccine RELATED to bone and muscles.
Healthcare visit (other): Chiropractor

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: Deterioration of bone in my left hip joint. Which has greatly affected my walking, in my ability to go ,my exercise. Have had 15 chiropractic visits. Two orthopedic visits.
Healthcare visit (other): MRIs and x-rays

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
HCVOOffice visit ✓ ✓ ✓
HCVOUnevaluable event · · ✓
SDArthralgia ✓ ✓ ✓
SDBone atrophy · · ✓
SDBone pain ✓ · ✓
SDDiscomfort ✓ · ✓
SDExercise tolerance decreased · · ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDGait disturbance · · ✓
SDOffice visit ✓ · ✓
SDPre-existing disease ✓ ✓ ✓
SDSciatica ✓ · ✓
SRODiarrhoea ✓ ✓ ✓

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