4M8-23533-69258
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 197 / DE
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia oral, Lip swelling — Feeling: Fair · Site: Pain, Redness · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Lips swelled and felt numb.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Lip swelling, Self-medication, Urticaria — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Had very swollen lips, chills and hives. Used Benadryl Saturday, Sunday and Monday. Today I only have a few hives and am feeling markedly better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-01-29
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2021-02-01
Survey response — day 7, dose 1MedDRA: Urticaria — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Occasional hives since I got my vaccine but almost gone now!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-13
- 2021-02-20
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2021-02-24
Dose 2 — Moderna
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Chills, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Ran a temp of 101.4, chills and body aches for about 40 hrs. All good now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
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2021-03-24
Survey response — day 28, dose 2MedDRA: Mammogram, Ultrasound scan — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Had a mammogram 3-9, 3 weeks after last vaccine. Got a call back on side I had both vaccines for additional mammograms and ultrasound. Will be scheduled for a biopsy and marking clip placement within the next week or two at the (b)(6). · Healthcare visit (other): Mammogram & ultrasound so far.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-31
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2021-04-07
Survey response — day 42, dose 2MedDRA: Biopsy breast abnormal, Fibrocystic breast disease, Fiducial marker placement, Medical device change — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had biopsies of left breast - side where vaccines given. Dense tissue and coil marker placed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-26
- 2021-08-27
- 2022-01-12
- 2022-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Lips swelled and felt numb.
Systemic reaction (other): Had very swollen lips, chills and hives. Used Benadryl Saturday, Sunday and Monday. Today I only have a few hives and am feeling markedly better.
Release 3 — day 7, dose 1
Systemic reaction (other): Occasional hives since I got my vaccine but almost gone now!
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Ran a temp of 101.4, chills and body aches for about 40 hrs. All good now.
Release 6 — day 28, dose 2
Symptoms: Had a mammogram 3-9, 3 weeks after last vaccine. Got a call back on side I had both vaccines for additional mammograms and ultrasound. Will be scheduled for a biopsy and marking clip placement within the next week or two at the (b)(6).
Healthcare visit (other): Mammogram & ultrasound so far.
redacted (b)(6)
Release 7 — day 42, dose 2
Symptoms: Had biopsies of left breast - side where vaccines given. Dense tissue and coil marker placed.
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 | Mammogram | ✓ | ✓ | ✓ |
| HCVO | Ultrasound scan | ✓ | ✓ | ✓ |
| SD | Biopsy breast abnormal | ✓ | · | ✓ |
| SD | Fibrocystic breast disease | ✓ | · | ✓ |
| SD | Fiducial marker placement | ✓ | · | ✓ |
| SD | Mammogram | ✓ | ✓ | ✓ |
| SD | Medical device change | ○ | ✓ | ○ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release