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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

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-02-20
    Dose 2 — Moderna
  3. 2021-05-14
    Registered in v-safe
  4. 2021-05-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-08-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-11-09
    Dose 3 — Moderna
  7. 2022-02-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  8. 2022-05-14
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  9. 2022-10-30
    Dose 4 — Moderna
  10. 2022-11-01
    Survey response — days 1–6 daily, dose 4
    MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Swelling · Joint pains
    Free text: Pain in my arm pit:
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-11-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Swelling · Joint pains
    Adult check-in
  12. 2022-11-20
    Survey response — day 21, dose 4
    MedDRA: 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 visit
    Free text: Breast cancer
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-11-20
    Report sent to call center — day 21, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  14. 2022-11-21
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  15. 2022-11-29
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  16. 2022-12-05
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  17. 2022-12-11
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  18. 2023-04-30
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-20Moderna
32021-11-09Moderna No
42022-10-30Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 — days 1–6 daily, dose 4

2022-11-01

Systemic reaction (other): Pain in my arm pit:

Release 12 — day 21, dose 4

2022-11-20

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

FieldPreferred term2021-092023-042024-11
SDBreast cancer · · ✓
SROAxillary pain · · ✓

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