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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

  1. 2021-03-09
    Dose 1 — Moderna
  2. 2021-03-17
    Registered in v-safe
  3. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-23
    Survey response — day 14, dose 1
    MedDRA: Pre-existing disease, Psoriatic arthropathy — Feeling: Good
    Free 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
  5. 2021-03-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-06
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-04-07
    Dose 2 — Moderna
  8. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  10. 2021-04-27
    Survey response — day 14, dose 2
    MedDRA: Paranasal sinus inflammation — Feeling: Fair
    Free text: Sinuses are inflamed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-30
    Survey response — day 21, dose 2
    MedDRA: Breast mass, Breast pain, Injection site pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free 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 shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-30
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-05-05
    Survey response — day 28, dose 2
    MedDRA: Breast mass, Breast pain, Injection site mass, Office visit, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Lump in breast 4 centimeters with pain and fever · Healthcare visit (other): Went to obgyn
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-05
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-05-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-16
    Dose 3 — Moderna
  17. 2021-09-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-09-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  19. 2021-09-23
    Survey response — day 7, dose 3
    MedDRA: Paranasal sinus discomfort, Sinus pain — Feeling: Fair
    Free text: Sinus pressure and pain
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-09-30
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-10-07
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-10-14
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-10-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-10-28
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-12-16
    Survey response — 3 months, dose 3
    MedDRA: Breast pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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 biopsy
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-12-16
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-12-17
  28. 2021-12-22
  29. 2022-09-18
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Moderna
22021-04-07Moderna
32021-09-16Moderna No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-23

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

2021-04-27

Symptoms: Sinuses are inflamed

Release 8 — day 21, dose 2

2021-04-30

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

2021-05-05

Symptoms: Lump in breast 4 centimeters with pain and fever
Healthcare visit (other): Went to obgyn

Release 9 — day 7, dose 3

2021-09-23

Systemic reaction (other): Sinus pressure and pain

Release 10 — 3 months, dose 3

2021-12-16

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDBreast mass ✓ ✓ ✓
SDBreast pain ✓ ✓ ✓
SDInjection site mass ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDParanasal sinus inflammation ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPsoriatic arthropathy ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SROParanasal sinus discomfort · · ✓
SROSinus pain · · ✓

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