5KD-30508-41919
2 vaccinations
4 coded responses
9 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 381 / TN
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Dose 1 — Moderna
-
2021-01-28
Dose 2 — Moderna
-
2021-02-04
Registered in v-safe
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2021-02-04
Health check-in — day 7, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-02-11
Survey response — day 14, dose 2MedDRA: Medical counselling, Swelling, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Ihad a call back on mammogram from last week. Yesterday more tests,ultrasounds I have been scheduled for biopsies next week. They were glad I mentioned the vaccine as they could see differences. Also I have an enlarged spot on my neck. I had severe · Healthcare visit (other): Diagnostics Imaging CenterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-18
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2021-02-27
Survey response — day 28, dose 2MedDRA: Breast cancer, Invasive lobular breast carcinoma, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Diagnosis of invasive lobular breast cancer · Healthcare visit (other): Breast MRIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-06
Survey response — day 35, dose 2MedDRA: Magnetic resonance imaging, Neoplasm malignant, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Invasive lobular cancer with surgery scheduled for next week. · Healthcare visit (other): MRI and visit with breast surgeonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-12
Survey response — day 42, dose 2MedDRA: Breast conserving surgery, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Ive had a lumpectomy for invasive lobular breast cancerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
-
2021-07-28
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-08-01
- 2022-01-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 4 — day 14, dose 2
Symptoms: Ihad a call back on mammogram from last week. Yesterday more tests,ultrasounds I have been scheduled for biopsies next week. They were glad I mentioned the vaccine as they could see differences. Also I have an enlarged spot on my neck. I had severe cut off by CDC
Healthcare visit (other): Diagnostics Imaging Center
Release 4 — day 28, dose 2
Symptoms: Diagnosis of invasive lobular breast cancer
Healthcare visit (other): Breast MRI
Release 5 — day 35, dose 2
Symptoms: Invasive lobular cancer with surgery scheduled for next week.
Healthcare visit (other): MRI and visit with breast surgeon
Release 5 — day 42, dose 2
Symptoms: Ive had a lumpectomy for invasive lobular 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 | Magnetic resonance imaging | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Breast cancer | ○ | ✓ | ○ |
| SD | Breast conserving surgery | ✓ | ✓ | ✓ |
| SD | Invasive lobular breast carcinoma | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Neoplasm malignant | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release