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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

  1. 2021-01-02
    Dose 1 — Moderna
  2. 2021-01-28
    Dose 2 — Moderna
  3. 2021-02-04
    Registered in v-safe
  4. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-02-11
    Survey response — day 14, dose 2
    MedDRA: Medical counselling, Swelling, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free 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 Center
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-11
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-18
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-02-27
    Survey response — day 28, dose 2
    MedDRA: Breast cancer, Invasive lobular breast carcinoma, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Diagnosis of invasive lobular breast cancer · Healthcare visit (other): Breast MRI
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-27
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-03-06
    Survey response — day 35, dose 2
    MedDRA: Magnetic resonance imaging, Neoplasm malignant, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Invasive lobular cancer with surgery scheduled for next week. · Healthcare visit (other): MRI and visit with breast surgeon
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-06
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-03-12
    Survey response — day 42, dose 2
    MedDRA: Breast conserving surgery, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Ive had a lumpectomy for invasive lobular breast cancer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-29
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-07-28
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  15. 2021-08-01
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  16. 2022-01-30
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-28Moderna

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-11

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

2021-02-27

Symptoms: Diagnosis of invasive lobular breast cancer
Healthcare visit (other): Breast MRI

Release 5 — day 35, dose 2

2021-03-06

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

2021-03-12

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

FieldPreferred term2021-092023-042024-11
HCVOMagnetic resonance imaging ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
HCVOUnevaluable event ✓ ✓ ✓
SDBreast cancer ○ ✓ ○
SDBreast conserving surgery ✓ ✓ ✓
SDInvasive lobular breast carcinoma ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDNeoplasm malignant ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSwelling ✓ ✓ ✓

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