XYQ-13541-52429
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 31-35
- ZIP prefix
- 386 / MS
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
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2020-12-28
Dose 1 — Moderna
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2020-12-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Maternal exposure during breast feeding, Suppressed lactation — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Lower than normal breast milk supplyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Breast feeding, Suppressed lactation — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, NauseaFree text: Lower than normal breast milk supplyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-11
- 2021-01-18
- 2021-01-25
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2021-01-27
Dose 2 — Moderna
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2021-01-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tirednessAdult check-in
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, VomitingAdult check-in
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2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Lactation disorder, Lactation insufficiency — Feeling: Good · HeadacheFree text: Decreased breast milk productionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
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2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · NauseaFree text: Decrease breast milk supplyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
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2021-07-28
Survey response — 6 months, dose 2MedDRA: Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Vomitting non stopMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-28
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-05
- 2022-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-28 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Lower than normal breast milk supply
Systemic reaction (other): Lower than normal breast milk supply
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Decreased breast milk production
Systemic reaction (other): Decrease breast milk supply
Release 9 — 6 months, dose 2
Symptoms: Vomitting non stop
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 | Vomiting | ✓ | · | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Lactation disorder | ✓ | ✓ | ○ |
| SRO | Lactation insufficiency | · | · | ✓ |
| SRO | Maternal exposure during breast feeding | ✓ | ✓ | ✓ |
| SRO | Suppressed lactation | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release