5GU-25941-01357
2 vaccinations
6 coded responses
9 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 217 / MD
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Moderna
-
2021-03-31
Dose 2 — Moderna
-
2021-04-07
Registered in v-safe
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2021-04-07
Survey response — day 7, dose 2MedDRA: Pyrexia — Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Normal temperature is 97.5. On April1 about 12 hours after the shot my fever spiked to 101.4 degrees.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
-
2021-04-28
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Gastroenteritis viral, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: On 4/22 I woke up in the middle of the night with stomach pains that felt like the stomach flu. I didnt have a fever and it was many hours after dinner so I do not think it was food related. It resolved on its own about 8 hours later.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Survey response — day 35, dose 2MedDRA: Oropharyngeal pain, Self-medication — Feeling: GoodFree text: Yesterday, May4, I woke up w/ a very sore throat but I did not have a fever. It was painful enough that I took 2 ibuprofen capsules. Today my sore throat is less severe & I did not take anything. If it continues tomorrow Ill call my provider.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — day 42, dose 2MedDRA: Abdominal discomfort, SARS-CoV-2 test — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I woke up Monday, May 10 night with intestinal discomfort and thought I was going to get sick. This is the second time it happened. On Tuesday, May11 I went to the minute clinic and had a COVID test. I am waiting for the results. · Healthcare visit (other): I took a COVID test on May 10. Waiting for results.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-30
Survey response — 3 months, dose 2MedDRA: Breast cancer — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diagnosed with breast cancer of right breast on 5/14/2021.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-29
Survey response — 6 months, dose 2MedDRA: Breast cancer — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Breast cancerMedDRA releases: 2024-11 · check-in free text available
- 2022-03-31
- 2022-05-09
-
2022-05-10
Callback requested for07:00PM ET
-
2022-05-10
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 7 — day 7, dose 2
Systemic reaction (other): Normal temperature is 97.5. On April1 about 12 hours after the shot my fever spiked to 101.4 degrees.
Release 8 — day 28, dose 2
Symptoms: On 4/22 I woke up in the middle of the night with stomach pains that felt like the stomach flu. I didnt have a fever and it was many hours after dinner so I do not think it was food related. It resolved on its own about 8 hours later.
Release 8 — day 35, dose 2
Symptoms: Yesterday, May4, I woke up w/ a very sore throat but I did not have a fever. It was painful enough that I took 2 ibuprofen capsules. Today my sore throat is less severe & I did not take anything. If it continues tomorrow Ill call my provider.
Release 8 — day 42, dose 2
Symptoms: I woke up Monday, May 10 night with intestinal discomfort and thought I was going to get sick. This is the second time it happened. On Tuesday, May11 I went to the minute clinic and had a COVID test. I am waiting for the results.
Healthcare visit (other): I took a COVID test on May 10. Waiting for results.
Release 9 — 3 months, dose 2
Symptoms: Diagnosed with breast cancer of right breast on 5/14/2021.
Release 9 — 6 months, dose 2
Symptoms: Breast cancer
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 | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Breast cancer | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release