7HV-28263-49596
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 852 / AZ
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-25
Dose 1 — Moderna
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2021-03-26
Registered in v-safe
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2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-03
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2021-04-22
Dose 2 — Moderna
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2021-04-22
Health check-in — day 0, dose 2Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Breast feeding, Diarrhoea — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Changes to my breast milk. Breastfeeding child also has diarrhea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain, Maternal exposure during breast feeding — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I am a Nursing mother, and Ive experienced breast pain and changes in my milkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Breast milk odour abnormal, Lactation disorder — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Changes to breast milkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Breast feeding, Haematochezia — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Me and my breastfed baby had blood in our stool, seemed like a one time episode as far as I can tell.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Health check-in — day 7, dose 2Feeling: Fair · Site: Itching · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-04-25
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Full body rash 2nd trimester pregnancy lossMedDRA releases: 2024-11 · check-in free text available
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2022-04-25
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
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2022-04-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-25 | Successful 2022-04-26 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Changes to my breast milk. Breastfeeding child also has diarrhea.
Systemic reaction (other): I am a Nursing mother, and Ive experienced breast pain and changes in my milk
Systemic reaction (other): Changes to breast milk
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Me and my breastfed baby had blood in our stool, seemed like a one time episode as far as I can tell.
Release 11 — 12 months, dose 2
Symptoms: Full body rash 2nd trimester pregnancy loss
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 | Abortion spontaneous | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Breast milk odour abnormal | ○ | ✓ | ○ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Haematochezia | ✓ | ✓ | ✓ |
| SRO | Lactation disorder | ✓ | · | ✓ |
| SRO | Maternal exposure during breast feeding | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release