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FVA-24655-30929

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
919 / CA
Registered
2021-04-14
Relationship
Self
Race
N/A
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-13
    Dose 1 — Moderna
  2. 2021-04-14
    Registered in v-safe
  3. 2021-04-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease, Pregnancy — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Vomiting
    Free text: Im pregnant and had a cold before and during my vaccine shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Breast tenderness — Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Left breast tenderness since day 1 of shot to present day. I also got my shot on my left arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Breast pain, Breast tenderness — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Still experiencing left breast tenderness/pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Breast pain, Breast tenderness — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Left breast tenderness/pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-20
    Survey response — day 7, dose 1
    MedDRA: Breast pain, Breast tenderness — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Left breast tenderness/pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-11
    Dose 2 — Moderna
  12. 2021-05-11
    Survey response — day 0, dose 2
    MedDRA: Breast pain, Breast tenderness — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: Left breast pain/tenderness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear swelling — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work
    Free text: Right ear feels a little swollen sometimes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Muscle or body aches
    Adult check-in
  17. 2021-05-18
    Health check-in — day 7, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-05-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-11-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-05-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna
22021-05-11Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Im pregnant and had a cold before and during my vaccine shot

2021-04-15

Systemic reaction (other): Left breast tenderness since day 1 of shot to present day. I also got my shot on my left arm.

2021-04-16

Systemic reaction (other): Still experiencing left breast tenderness/pain

2021-04-19

Systemic reaction (other): Left breast tenderness/pain

Release 7 — day 7, dose 1

2021-04-20

Systemic reaction (other): Left breast tenderness/pain

Release 8 — day 0, dose 2

2021-05-11

Systemic reaction (other): Left breast pain/tenderness

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Right ear feels a little swollen sometimes

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
SROBreast pain ✓ ✓ ✓
SROBreast tenderness ✓ ✓ ✓
SROEar swelling ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPregnancy ✓ ✓ ✓

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

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