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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

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-03-31
    Dose 2 — Moderna
  3. 2021-04-07
    Registered in v-safe
  4. 2021-04-07
    Survey response — day 7, dose 2
    MedDRA: 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 activities
    Free 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
  5. 2021-04-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-04-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-04-28
    Survey response — day 28, dose 2
    MedDRA: Abdominal pain upper, Gastroenteritis viral, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  8. 2021-05-05
    Survey response — day 35, dose 2
    MedDRA: Oropharyngeal pain, Self-medication — Feeling: Good
    Free 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
  9. 2021-05-12
    Survey response — day 42, dose 2
    MedDRA: Abdominal discomfort, SARS-CoV-2 test — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free 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
  10. 2021-05-12
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-06-30
    Survey response — 3 months, dose 2
    MedDRA: Breast cancer — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  12. 2021-09-29
    Survey response — 6 months, dose 2
    MedDRA: Breast cancer — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Breast cancer
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-03-31
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2022-05-09
  15. 2022-05-10
  16. 2022-05-10
    Call successful
    Completed over the phone

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-31Moderna

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

See the call center timeline

Free text

Release 7 — day 7, dose 2

2021-04-07

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

2021-04-28

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

2021-05-05

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

2021-05-12

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

2021-06-30

Symptoms: Diagnosed with breast cancer of right breast on 5/14/2021.

Release 9 — 6 months, dose 2

2021-09-29

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

FieldPreferred term2021-092023-042024-11
HCVOSARS-CoV-2 test ✓ ✓ ✓
SDAbdominal discomfort ✓ ✓ ✓
SDAbdominal pain upper ✓ ✓ ✓
SDBreast cancer ✓ ✓ ✓
SDGastroenteritis viral ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSARS-CoV-2 test ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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