QE4-17113-45167
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 303 / GA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-24
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain — Feeling: Good · Muscle or body achesFree text: Breast pain on left sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain — Feeling: Good · Muscle or body achesFree text: Left side breast painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain — Feeling: Good · Muscle or body achesFree text: Left breast painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — day 7, dose 2MedDRA: Breast pain — Feeling: GoodFree text: Mild left breast painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
-
2021-08-24
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Miscarriage in May; now pregnant againMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-24
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-25
Call successfulParticipant prefers to complete VAERS report online
- 2022-02-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-24 | Successful 2021-08-25 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Breast pain on left side
Systemic reaction (other): Left side breast pain
Systemic reaction (other): Left breast pain
Release 4 — day 7, dose 2
Systemic reaction (other): Mild left breast pain
Release 9 — 6 months, dose 2
Symptoms: Miscarriage in May; now pregnant again
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 | Pregnancy | ✓ | · | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release