D39-57458-85762
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 074 / NJ
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Moderna
- 2021-04-06
-
2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Oedema peripheral, Pain in extremity — Feeling: Good · Site: Pain, Redness, SwellingFree text: My left arm pit is swollen and painful - I think my lymph node is swollen. That is the side I got the shot on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-09
- 2021-04-10
-
2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Breast feeding, Menstruation irregular — Feeling: GoodFree text: I am breastfeeding and I noticed a 30% drop in milk supply starting the day after my vaccine last Wed. I also got my period for the first time since before being pregnant. I have asked 2 other breastfeeding moms and the exact same thing happened to them with supply dropping and their period returning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-22
- 2021-04-27
-
2021-05-04
Dose 2 — Moderna
-
2021-05-04
Survey response — day 0, dose 2MedDRA: Joint swelling — Feeling: Good · Site: PainFree text: Shoulder that got the shot is very swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · HeadacheAdult check-in
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-03
- 2021-06-08
- 2021-06-15
- 2021-08-03
-
2021-11-02
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Within a month of my second shot I found out that I was pregnant. By 8-9wks pregnant I lost the baby and had a miscarriage. · Healthcare visit (other): Was able to see my regular obgynMedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-04
- 2022-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-02 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): My left arm pit is swollen and painful - I think my lymph node is swollen. That is the side I got the shot on.
Systemic reaction (other): I am breastfeeding and I noticed a 30% drop in milk supply starting the day after my vaccine last Wed. I also got my period for the first time since before being pregnant. I have asked 2 other breastfeeding moms and the exact same thing happened to them with supply dropping and their period returning.
Release 8 — day 0, dose 2
Systemic reaction (other): Shoulder that got the shot is very swollen
Release 10 — 6 months, dose 2
Symptoms: Within a month of my second shot I found out that I was pregnant. By 8-9wks pregnant I lost the baby and had a miscarriage.
Healthcare visit (other): Was able to see my regular obgyn
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 | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release