H7X-29761-83454
4 vaccinations
2 coded responses
11 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 072 / NJ
- Registered
- 2021-05-14
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-02-20
Dose 2 — Moderna
-
2021-05-14
Registered in v-safe
- 2021-05-24
- 2021-08-21
-
2021-11-09
Dose 3 — Moderna
- 2022-02-20
- 2022-05-14
-
2022-10-30
Dose 4 — Moderna
-
2022-11-01
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Swelling · Joint painsFree text: Pain in my arm pit:MedDRA releases: 2024-11 · check-in free text available
-
2022-11-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Joint painsAdult check-in
-
2022-11-20
Survey response — day 21, dose 4MedDRA: Breast cancer — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Breast cancerMedDRA releases: 2024-11 · check-in free text available
-
2022-11-20
Report sent to call center — day 21, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-11-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-29
- 2022-12-05
- 2022-12-11
- 2023-04-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-10-30 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Pain in my arm pit:
Release 12 — day 21, dose 4
Symptoms: Breast cancer
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 | Breast cancer | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release