2UR-31650-12365
4 vaccinations
8 coded responses
34 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 782 / TX
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
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2021-01-07
Dose 1 — Moderna
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · Site: Itching · HeadacheFree text: The first three evenings after the shot, I felt like maybe I might be getting a headache, so I took one of my headache pills. Never got bad. Might've just been cedar fever (count was really high here in San Antonio, so I don't know)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Site: Pain, Itching · HeadacheFree text: My lower back feels soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Site: Redness, Itching · Fever · Headache, Muscle or body achesFree text: These were actually last night when I went to bed; the fever started AFTER I filled out yesterdays report.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
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2021-03-04
Survey response — day 28, dose 2MedDRA: Mammogram abnormal, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Mammogram requiring additional testing · Healthcare visit (other): Scheduled appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-11
Survey response — day 35, dose 2MedDRA: Biopsy breast, Biopsy lymph gland, Office visit, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Had to have two biopsies since the second shot. Lymph node and breaSt in left side. Waiting for results. · Healthcare visit (other): Radiology and Imaging centerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-18
Survey response — day 42, dose 2MedDRA: Biopsy breast abnormal, Breast cancer stage I, Lymphadenopathy, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: A biopsy shows I have grade 1 cancer in my left breast. Lymph node still swollen, but biopsy clear · Healthcare visit (other): Radiologist. Have appointment soon with a general surgeonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-06
Survey response — 3 months, dose 2MedDRA: Breast cancer, Fatigue, Pre-existing disease — Feeling: FairFree text: Fatigue and was diagnosed with breast cancer. Gland that was removed was clear of cancer. Have not had any COVID symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-05
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2021-10-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-11-02
Dose 3 — ModernaCo-administered: Flu
- 2022-02-04
-
2022-05-10
Dose 4 — Moderna
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2022-05-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-05-12
Survey response — days 1–6 daily, dose 4MedDRA: Body temperature decreased, Pyrexia — Feeling: Fair · Site: Pain, Redness · FeverFree text: My fever peaked last night just after midnight. Woke up this morning pretty much normal. Since I got up my temp is pretty stable at 98.2MedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-08-09
- 2022-11-08
- 2023-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-11-02 | Moderna | Flu |
| 4 | 2022-05-10 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): The first three evenings after the shot, I felt like maybe I might be getting a headache, so I took one of my headache pills. Never got bad. Might've just been cedar fever (count was really high here in San Antonio, so I don't know)
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): My lower back feels sore
Systemic reaction (other): These were actually last night when I went to bed; the fever started AFTER I filled out yesterdays report.
Release 5 — day 28, dose 2
Symptoms: Mammogram requiring additional testing
Healthcare visit (other): Scheduled appointment
Release 5 — day 35, dose 2
Symptoms: Had to have two biopsies since the second shot. Lymph node and breaSt in left side. Waiting for results.
Healthcare visit (other): Radiology and Imaging center
Release 5 — day 42, dose 2
Symptoms: A biopsy shows I have grade 1 cancer in my left breast. Lymph node still swollen, but biopsy clear
Healthcare visit (other): Radiologist. Have appointment soon with a general surgeon
Release 8 — 3 months, dose 2
Symptoms: Fatigue and was diagnosed with breast cancer. Gland that was removed was clear of cancer. Have not had any COVID symptoms.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): My fever peaked last night just after midnight. Woke up this morning pretty much normal. Since I got up my temp is pretty stable at 98.2
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 | ✓ | ✓ | ✓ |
| SD | Biopsy breast | ○ | ✓ | ○ |
| SD | Biopsy breast abnormal | ✓ | ✓ | ✓ |
| SD | Biopsy lymph gland | ○ | ✓ | ○ |
| SD | Breast cancer | ✓ | ✓ | ✓ |
| SD | Breast cancer stage I | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Mammogram abnormal | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Body temperature decreased | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release