3XN-17235-04583
2 vaccinations
1 coded response
10 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 789 / TX
- Registered
- 2021-07-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-21
Registered in v-safe
-
2021-07-21
Dose 1 — Moderna
- 2021-07-21
-
2021-07-22
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2021-07-22
Report sent to call center — days 1–6 daily, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-23
- 2021-07-24
- 2021-07-25
- 2021-07-26
- 2021-07-26
- 2021-07-27
- 2021-08-04
-
2021-08-16
Dose 2 — Moderna
-
2021-08-18
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain, Medical counselling, Pregnancy — Feeling: Good · Site: PainFree text: A sharp pain in my right breast. (I am pregnant and my provider said this has happened to several moms)MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-21 | Moderna | No |
| 2 | 2021-08-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-22 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): A sharp pain in my right breast. (I am pregnant and my provider said this has happened to several moms)
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 |
|---|---|---|---|---|
| SRO | Breast pain | ✓ | · | ✓ |
| SRO | Medical counselling | ✓ | · | ✓ |
| SRO | Pregnancy | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release