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YHW-19270-54717

3 vaccinations 4 coded responses 8 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
294 / SC
Registered
2021-12-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-19
    Dose 1 — Moderna
  2. 2021-05-17
    Dose 2 — Moderna
  3. 2021-12-13
    Dose 3 — Moderna
    Co-administered: Flu
  4. 2021-12-27
    Registered in v-safe
  5. 2021-12-27
    Survey response — day 14, dose 3
    MedDRA: Arthralgia, Fatigue, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Since the booster shot, I have still had extreme fatigue and terrible joint pain in my knees and hands, which I have never had before.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-04
    Survey response — day 21, dose 3
    MedDRA: Arthralgia, Fatigue, Pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I've had joint pain and fatigue since the booster. Originally the joint pain was just my left hand and knee . Then both hands, knees, and now my feet and ankles as well. I hurt everywhere.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-01-12
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  8. 2022-01-17
    Health check-in — day 35, dose 3
    Feeling: Poor
    Adult check-in
  9. 2022-01-26
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  10. 2022-03-16
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  11. 2022-06-15
    Survey response — 6 months, dose 3
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair
    Free text: Numbness and tingling in the bottom of my neck/top of spine and also one foot.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-12-15
    Survey response — 12 months, dose 3
    MedDRA: Hypovitaminosis, Impaired healing, Mineral deficiency, Multiple fractures — Feeling: Fair · 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: A bone that broke for basically no reason and hasn't healed in four months. Vitamin and mineral deficiencies
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-12-15
    Report sent to call center — 12 months, dose 3
    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)
  14. 2022-12-16
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-04-19Moderna No
22021-05-17Moderna No
32021-12-13Moderna Flu

Call center

ReportedOutcomeVAERS-related outcome
2022-12-15 Successful
2022-12-16
Participant prefers to complete VAERS report online

Free text

Release 10 — day 14, dose 3

2021-12-27

Symptoms: Since the booster shot, I have still had extreme fatigue and terrible joint pain in my knees and hands, which I have never had before.

Release 10 — day 21, dose 3

2022-01-04

Symptoms: I've had joint pain and fatigue since the booster. Originally the joint pain was just my left hand and knee . Then both hands, knees, and now my feet and ankles as well. I hurt everywhere.

Release 12 — 6 months, dose 3

2022-06-15

Symptoms: Numbness and tingling in the bottom of my neck/top of spine and also one foot.

Release 12 — 12 months, dose 3

2022-12-15

Symptoms: A bone that broke for basically no reason and hasn't healed in four months. Vitamin and mineral deficiencies

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
SDArthralgia · · ✓
SDFatigue · · ✓
SDHypoaesthesia · · ✓
SDHypovitaminosis · · ✓
SDImpaired healing · · ✓
SDMineral deficiency · · ✓
SDMultiple fractures · · ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDParaesthesia · · ✓

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