5MH-99211-95247
3 vaccinations
10 coded responses
41 check-ins
10 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 930 / CA
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
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2021-03-04
Dose 1 — Moderna
- 2021-03-04
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2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-13
- 2021-03-18
- 2021-03-25
- 2021-04-01
-
2021-04-05
Dose 2 — Moderna
- 2021-04-05
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-14
- 2021-04-19
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2021-04-26
Survey response — day 21, dose 2MedDRA: Chest discomfort, Muscle tightness, Tenderness, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Since my second vaccine, I feel a tightness in my upper arm muscles and chest that is not going away. . I have sensations and tenderness in my left breast. I am not in pain, but it doesnt feel quite right. I am going to the doctor tomorrow. · Healthcare visit (other): My appointment is 4/27MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-03
Survey response — day 28, dose 2MedDRA: Breast tenderness, Chest discomfort, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pressure and tenderness in left breast. Physician informed me that if symptoms do nor disappear in two more weeks I should have a mammogram to take a look at left breast. · Healthcare visit (other): Doctors office visit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-10
Survey response — day 35, dose 2MedDRA: Breast discomfort, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Since my last check in, I am still feeling light pressure in my left breast. It has not gotten worse, but it has not gone away either. · Healthcare visit (other): Doctors office visit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-17
- 2021-06-07
- 2021-07-05
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2021-10-04
Survey response — 6 months, dose 2MedDRA: Discomfort, Lymphadenopathy, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I am feeling pressure sensations in my left breast. I've had a negative mammogram. Doctor thinks it may be enlarged glands from my Covid vaccine. · Healthcare visit (other): Doctor's office visitMedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-07
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2021-10-22
Call successfulParticipant prefers to complete VAERS report online
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2021-12-11
Dose 3 — Moderna
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2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swelling in both armpits, about 3 inches by 3 inches under my left arm and slightly less under right arm. My vaccine was in the left arm. Armpits are also very sore.MedDRA releases: 2024-11 · check-in free text available
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2021-12-14
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swelling and soreness in my armpits.MedDRA releases: 2024-11 · check-in free text available
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2021-12-15
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swelling and aching in both armpitsMedDRA releases: 2024-11 · check-in free text available
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2021-12-16
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral, Tenderness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swelling and tenderness in both armpits.MedDRA releases: 2024-11 · check-in free text available
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2021-12-17
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swelling and soreness in both armpits.MedDRA releases: 2024-11 · check-in free text available
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2021-12-18
Survey response — day 7, dose 3MedDRA: Oedema peripheral, Tenderness — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swelling and tenderness in both armpits.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-01-22
- 2022-03-12
- 2022-06-11
- 2022-12-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-12-11 | Moderna | No |
Call center
4 call center cases
4 successful
Free text
Release 8 — day 21, dose 2
Symptoms: Since my second vaccine, I feel a tightness in my upper arm muscles and chest that is not going away. . I have sensations and tenderness in my left breast. I am not in pain, but it doesnt feel quite right. I am going to the doctor tomorrow.
Healthcare visit (other): My appointment is 4/27
Release 8 — day 28, dose 2
Symptoms: Pressure and tenderness in left breast. Physician informed me that if symptoms do nor disappear in two more weeks I should have a mammogram to take a look at left breast.
Healthcare visit (other): Doctors office visit.
Release 8 — day 35, dose 2
Symptoms: Since my last check in, I am still feeling light pressure in my left breast. It has not gotten worse, but it has not gone away either.
Healthcare visit (other): Doctors office visit.
Release 10 — 6 months, dose 2
Symptoms: I am feeling pressure sensations in my left breast. I've had a negative mammogram. Doctor thinks it may be enlarged glands from my Covid vaccine.
Healthcare visit (other): Doctor's office visit
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling in both armpits, about 3 inches by 3 inches under my left arm and slightly less under right arm. My vaccine was in the left arm. Armpits are also very sore.
Systemic reaction (other): Swelling and soreness in my armpits.
Systemic reaction (other): Swelling and aching in both armpits
Systemic reaction (other): Swelling and tenderness in both armpits.
Systemic reaction (other): Swelling and soreness in both armpits.
Release 10 — day 7, dose 3
Systemic reaction (other): Swelling and tenderness in both armpits.
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 | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Breast discomfort | ✓ | ✓ | ✓ |
| SD | Breast tenderness | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Muscle tightness | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release