5KB-13295-18273
3 vaccinations
3 coded responses
20 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 134 / NY
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Dose 1 — Moderna
-
2021-01-06
Registered in v-safe
- 2021-01-06
- 2021-01-08
- 2021-01-14
-
2021-01-20
Dose 2 — Moderna
-
2021-01-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-04-21
-
2021-07-21
Survey response — 6 months, dose 2MedDRA: Breast mass, Breast pain, Erythema, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Breast pain, redness, lump. Undergoing work up currentlyMedDRA releases: 2024-11 · check-in free text available
-
2021-07-21
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-27
-
2021-11-19
Dose 3 — Pfizer-BioNTech
-
2022-01-22
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: Covid infectionMedDRA releases: 2024-11 · check-in free text available
- 2022-02-18
- 2022-05-20
-
2022-11-19
Survey response — 12 months, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-20 | Moderna | |
| 3 | 2021-11-19 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-21 | Unsuccessful |
Free text
Release 9 — 6 months, dose 2
Symptoms: Breast pain, redness, lump. Undergoing work up currently
Release 11 — 12 months, dose 2
Symptoms: Covid infection
Release 12 — 12 months, dose 3
Symptoms: Pregnancy
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 |
|---|---|---|---|---|
| SD | Breast mass | · | · | ✓ |
| SD | Breast pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release