3XE-18782-22404
3 vaccinations
6 coded responses
20 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-03-17
Registered in v-safe
- 2021-03-17
-
2021-03-23
Survey response — day 14, dose 1MedDRA: Pre-existing disease, Psoriatic arthropathy — Feeling: GoodFree text: My psoriatic arthritis in the last two days 3/21 and 3/22 has been acting up slightly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
-
2021-04-07
Dose 2 — Moderna
- 2021-04-13
- 2021-04-16
-
2021-04-27
Survey response — day 14, dose 2MedDRA: Paranasal sinus inflammation — Feeling: FairFree text: Sinuses are inflamedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 21, dose 2MedDRA: Breast mass, Breast pain, Injection site pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Pain in left breast (same side I got my vaccine on) and a lump or nodule. Have called my obgyn and I have a mammogram scheduled next week. It was already scheduled as they wanted me to wait a month after my second shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-05
Survey response — day 28, dose 2MedDRA: Breast mass, Breast pain, Injection site mass, Office visit, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Lump in breast 4 centimeters with pain and fever · Healthcare visit (other): Went to obgynMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-12
-
2021-09-16
Dose 3 — Moderna
- 2021-09-20
-
2021-09-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-09-23
Survey response — day 7, dose 3MedDRA: Paranasal sinus discomfort, Sinus pain — Feeling: FairFree text: Sinus pressure and painMedDRA releases: 2024-11 · check-in free text available
- 2021-09-30
- 2021-10-07
- 2021-10-14
- 2021-10-23
- 2021-10-28
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2021-12-16
Survey response — 3 months, dose 3MedDRA: Breast pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pain in my left breast. Ultrasound showed nothing nefarious could be related to my vaccine ? As that is the the side I received my shot · Healthcare visit (other): Follow up appt I had scheduled for biopsyMedDRA releases: 2024-11 · check-in free text available
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2021-12-16
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-17
- 2021-12-22
- 2022-09-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-09-16 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 6 — day 14, dose 1
Symptoms: My psoriatic arthritis in the last two days 3/21 and 3/22 has been acting up slightly.
Release 8 — day 14, dose 2
Symptoms: Sinuses are inflamed
Release 8 — day 21, dose 2
Symptoms: Pain in left breast (same side I got my vaccine on) and a lump or nodule. Have called my obgyn and I have a mammogram scheduled next week. It was already scheduled as they wanted me to wait a month after my second shot
Release 8 — day 28, dose 2
Symptoms: Lump in breast 4 centimeters with pain and fever
Healthcare visit (other): Went to obgyn
Release 9 — day 7, dose 3
Systemic reaction (other): Sinus pressure and pain
Release 10 — 3 months, dose 3
Symptoms: Pain in my left breast. Ultrasound showed nothing nefarious could be related to my vaccine ? As that is the the side I received my shot
Healthcare visit (other): Follow up appt I had scheduled for biopsy
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 | Breast mass | ✓ | ✓ | ✓ |
| SD | Breast pain | ✓ | ✓ | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Paranasal sinus inflammation | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Psoriatic arthropathy | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | · | · | ✓ |
| SRO | Sinus pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release