4AS-13214-29827
5 vaccinations
5 coded responses
28 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 684 / NE
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Moderna
-
2021-03-04
Registered in v-safe
- 2021-03-04
- 2021-03-09
- 2021-03-10
- 2021-03-19
- 2021-03-25
-
2021-03-31
Dose 2 — Moderna
- 2021-03-31
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
-
2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: My mammogram on 4/5/2021 show Lymph Node in the right axillary tail are increased in size when compared to prior studies. The left axilla is unremarkable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
-
2021-04-14
Survey response — day 14, dose 2MedDRA: Headache — Feeling: GoodFree text: I am still having headaches, but I don't know if they are related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Survey response — day 21, dose 2MedDRA: Headache — Feeling: FairFree text: I am still having headaches on and off every dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Survey response — day 28, dose 2MedDRA: Headache — Feeling: FairFree text: I continue to have the daily headaches. My repeat mammogram for right side is rescheduled for the 18th of May. I had both Mederna vaccine in my right arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
-
2021-07-02
Survey response — 3 months, dose 2MedDRA: Headache, Magnetic resonance imaging — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I AM CONTINUING TO HAVE HEADACHES NEARLY EVERY DAY. THESE HEADACHES HAVE BEEN CONTINUOUS SINCE SOMETIME IN MARCH 2021. I HAVE BEEN TO MY PCP. I HAD A MRI OF MY HEAD 7/1/2021. I AM WAITING FOR RESULTS. · Healthcare visit (other): Have seen PCP 4 times and have now had MRI of head.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-02
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-20
Call successfulCompleted over the phone
-
2021-10-26
Dose 3 — Moderna
-
2022-05-03
Dose 4 — Pfizer-BioNTech
- 2022-05-07
- 2022-05-12
- 2022-05-17
- 2022-05-24
- 2022-06-07
- 2022-06-16
-
2022-10-05
Dose 5 — Pfizer-BioNTech
- 2022-11-03
- 2022-11-03
- 2022-11-09
- 2022-11-16
- 2023-01-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-05-03 | Pfizer-BioNTech | No |
| 5 | 2022-10-05 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): My mammogram on 4/5/2021 show Lymph Node in the right axillary tail are increased in size when compared to prior studies. The left axilla is unremarkable.
Release 7 — day 14, dose 2
Symptoms: I am still having headaches, but I don't know if they are related to the vaccine.
Release 7 — day 21, dose 2
Symptoms: I am still having headaches on and off every day
Release 8 — day 28, dose 2
Symptoms: I continue to have the daily headaches. My repeat mammogram for right side is rescheduled for the 18th of May. I had both Mederna vaccine in my right arm.
Release 9 — 3 months, dose 2
Symptoms: I AM CONTINUING TO HAVE HEADACHES NEARLY EVERY DAY. THESE HEADACHES HAVE BEEN CONTINUOUS SINCE SOMETIME IN MARCH 2021. I HAVE BEEN TO MY PCP. I HAD A MRI OF MY HEAD 7/1/2021. I AM WAITING FOR RESULTS.
Healthcare visit (other): Have seen PCP 4 times and have now had MRI of head.
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 | Magnetic resonance imaging | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release