29G-18191-97482

2 vaccinations 9 coded responses 10 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 921 / CA
Registered: 2021-05-01

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

Timeline

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

2021-04-01
Dose 1 — Moderna
2021-04-29
Dose 2 — Moderna
2021-05-01
Registered in v-safe
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Breast pain, Feeling hot, Pain, Paraesthesia — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Extreme pain and soreness in my arm pit and breast. Throbbing, warmth and tingling in my nipple and breast area. This is all on the left side where I got the vaccine shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain, Chest pain, Flank pain, Lymphadenopathy, Painful respiration — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left Chest and Breast Pain, left side hurts when i take a deep breath. Swollen lymph nodes on the left side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Breast pain, Lymphadenopathy — Feeling: Fair · Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Breast and arm pit pain. Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain, Burning sensation — Feeling: Poor · Muscle or body aches · Be unable to do your normal daily activities

Free text: Burning sensation in arm pit and breast in injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Breast tenderness, Tenderness — Feeling: Fair

Free text: Tenderness in left breast and armpit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Swollen lymph node in the left breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 14, dose 2
MedDRA: Breast pain, Chest pain — Feeling: Fair

Free text: Soreness and pain in the left chest and breast area. One day its mild and the other its extremely painful and hurts to move around. The pain used to be in the breast but moved up to under the collarbone area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 28, dose 2
MedDRA: Adverse reaction, Breast pain, Breast tenderness, Cough, Pain, Painful respiration, Sneezing — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Worse pain/tenderness in the upper area of left breast. Feels like bruising when touched ans hurts during certain movements or when coughing or sneezing or taking deep breaths. · Healthcare visit (other): Will see my primary doctor to evaluate symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-04
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-14
Survey response — day 42, dose 2
MedDRA: Chest pain, Costochondritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain in the chest area. Doctor diagnosed it as Costochondritis. It was triggered by the vaccine shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-08-09
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Extreme pain and soreness in my arm pit and breast. Throbbing, warmth and tingling in my nipple and breast area. This is all on the left side where I got the vaccine shot.

2021-05-02

Systemic reaction (other): Left Chest and Breast Pain, left side hurts when i take a deep breath. Swollen lymph nodes on the left side.

2021-05-03

Systemic reaction (other): Breast and arm pit pain. Swollen lymph nodes

2021-05-04

Systemic reaction (other): Burning sensation in arm pit and breast in injection side

2021-05-05

Systemic reaction (other): Tenderness in left breast and armpit.

Release 8 — day 7, dose 2

2021-05-08

Systemic reaction (other): Swollen lymph node in the left breast

Release 8 — day 14, dose 2

2021-05-14

Symptoms: Soreness and pain in the left chest and breast area. One day its mild and the other its extremely painful and hurts to move around. The pain used to be in the breast but moved up to under the collarbone area.

Release 8 — day 28, dose 2

2021-05-27

Symptoms: Worse pain/tenderness in the upper area of left breast. Feels like bruising when touched ans hurts during certain movements or when coughing or sneezing or taking deep breaths.

Healthcare visit (other): Will see my primary doctor to evaluate symptoms.

Release 9 — day 42, dose 2

2021-06-14

Symptoms: Pain in the chest area. Doctor diagnosed it as Costochondritis. It was triggered by the vaccine shot.

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	Adverse reaction	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Breast tenderness	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Costochondritis	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Painful respiration	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Breast tenderness	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Flank pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Painful respiration	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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