4MJ-35832-81991
5 vaccinations
6 coded responses
24 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 327 / FL
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
- 2021-01-24
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
- 2021-01-28
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: just not feeling quite rightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
-
2021-02-02
Survey response — day 7, dose 2MedDRA: Pre-existing disease — Feeling: Good · Site: PainFree text: When I had the first shot I attached a memo from my primary care doc stating that I was very high risk due to stage IV breast cancer. I am immunocomprised.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Survey response — day 14, dose 2MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches for multiple daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — day 21, dose 2MedDRA: Lymphadenopathy, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had an MRI the day after. The vaccine really showed up in my lymph nodes. So it, and the subsequent PET scan have to be done over. There are articles coming out about mammos now too. If you want to call me. Afternoon or evening: (b)(6) · Healthcare visit (other): Tests. I have stage IV MBCMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-23
- 2021-03-02
-
2021-03-09
Survey response — day 42, dose 2MedDRA: Lymphadenopathy, Office visit, Pre-existing disease, Targeted cancer therapy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I ended up having my MRI and PET scan too soon after Vaccimation 2. Itmessed up both tests .I havetold you before that I am Stage IV MBS. I made sure that I had both vaccines on my weeks off from treatment. But it went right to my axilla lymph no · Healthcare visit (other): Cancer treatment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-29
- 2021-07-28
- 2021-08-03
- 2021-08-05
-
2021-08-12
Call successfulDoes not wish to fill out VAERS report
-
2021-08-13
Dose 3 — Moderna
- 2021-11-12
- 2022-02-12
-
2022-03-18
Dose 4 — Moderna
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-06-19
-
2022-09-16
Survey response — 6 months, dose 4MedDRA: Ear infection, Rhinorrhoea, Wheezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: ear infection; at a different time: runny nose and slight wheezing.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-25
Dose 5 — ModernaCo-administered: Flu
- 2023-03-18
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-08-13 | Moderna | No |
| 4 | 2022-03-18 | Moderna | No |
| 5 | 2022-10-25 | Moderna | Flu |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): just not feeling quite right
Release 3 — day 7, dose 2
Systemic reaction (other): When I had the first shot I attached a memo from my primary care doc stating that I was very high risk due to stage IV breast cancer. I am immunocomprised.
Release 3 — day 14, dose 2
Symptoms: Headaches for multiple days
Release 4 — day 21, dose 2
Symptoms: I had an MRI the day after. The vaccine really showed up in my lymph nodes. So it, and the subsequent PET scan have to be done over. There are articles coming out about mammos now too. If you want to call me. Afternoon or evening: (b)(6)
Healthcare visit (other): Tests. I have stage IV MBC
redacted (b)(6)
Release 5 — day 42, dose 2
Symptoms: I ended up having my MRI and PET scan too soon after Vaccimation 2. Itmessed up both tests .I havetold you before that I am Stage IV MBS. I made sure that I had both vaccines on my weeks off from treatment. But it went right to my axilla lymph no
Healthcare visit (other): Cancer treatment.
Release 12 — 6 months, dose 4
Symptoms: ear infection; at a different time: runny nose and slight wheezing.
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 | ○ | ✓ | ○ |
| HCVO | Pre-existing disease | ✓ | ✓ | ✓ |
| HCVO | Targeted cancer therapy | ○ | ✓ | ○ |
| HCVO | Unevaluable event | ✓ | ○ | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Magnetic resonance imaging abnormal | ○ | ○ | ○ |
| SD | Positron emission tomogram abnormal | ○ | ○ | ○ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release