5L2-30489-51255
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 010 / MA
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-26
Registered in v-safe
-
2020-12-26
Dose 1 — Moderna
- 2020-12-26
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-09
-
2021-01-16
Survey response — day 21, dose 1MedDRA: Heavy menstrual bleeding, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have had menstrual bleeding that has not stopped since my first vaccination. This is outside of my norm. (Also on birth control.) I have spoken with my primary and my ob/gyn. They are sending me for labs to evaluate for possible clotting issue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-23
Dose 2 — Moderna
- 2021-01-30
- 2021-02-06
-
2021-02-13
Survey response — day 21, dose 2MedDRA: Breast mass — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Breast lump and change in breast tissue on vaccine side. Awaiting ultrasound Monday for evaluation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-20
Survey response — day 28, dose 2MedDRA: Headache, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe headache. Day 4 today. Tested negative fir Covid yesterday (rapid test.)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-06
-
2021-03-19
Call successfulParticipant prefers to complete VAERS report online
- 2021-04-24
-
2021-07-24
Survey response — 6 months, dose 2MedDRA: Breast mass, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: New breast lump · Healthcare visit (other): Havent been seen yet. Still waiting for the appointmentMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-24
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
- 2022-01-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Moderna | |
| 2 | 2021-01-23 | Moderna |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 2 — day 21, dose 1
Symptoms: I have had menstrual bleeding that has not stopped since my first vaccination. This is outside of my norm. (Also on birth control.) I have spoken with my primary and my ob/gyn. They are sending me for labs to evaluate for possible clotting issue.
Release 4 — day 21, dose 2
Symptoms: Breast lump and change in breast tissue on vaccine side. Awaiting ultrasound Monday for evaluation.
Release 4 — day 28, dose 2
Symptoms: Severe headache. Day 4 today. Tested negative fir Covid yesterday (rapid test.)
Release 9 — 6 months, dose 2
Symptoms: New breast lump
Healthcare visit (other): Havent been seen yet. Still waiting for the appointment
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Breast mass | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release