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5DE-19034-76771

2 vaccinations 1 coded response 21 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
112 / NY
Registered
2021-08-09
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-07
    Dose 1 — Moderna
  2. 2021-08-09
    Registered in v-safe
  3. 2021-08-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Breast pain, Pain — Feeling: Good · Site: Pain · Headache
    Free text: Shooting pain in breast
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-08-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Abdominal pain
    Adult check-in
  5. 2021-08-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-08-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-08-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-08-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-08-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-09-04
    Dose 2 — Moderna
  11. 2021-09-04
    Health check-in — day 0, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  12. 2021-09-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-09-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Nausea
    Adult check-in
  14. 2021-09-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  15. 2021-09-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-09-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  17. 2021-09-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  18. 2021-09-11
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  19. 2021-09-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-10-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-16
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-12-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-08-07Moderna No
22021-09-04Moderna No

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-09

Systemic reaction (other): Shooting pain in breast

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
SROBreast pain ✓ · ✓
SROPain ✓ · ✓

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

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