YBD-31847-37108
2 vaccinations
4 coded responses
12 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 077 / NJ
- Registered
- 2021-04-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-04-16
Dose 2 — Moderna
-
2021-04-18
Registered in v-safe
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Neck pain, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Repeated stabbing pain in head and neck. Body pain so severe I was crying.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Overall unwell feeling again today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-23
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2021-04-30
Survey response — day 14, dose 2MedDRA: Breast pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extreme breast pain. Started about a week after the 2nd dose. It is still ongoing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-15
- 2021-05-21
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2021-05-28
Survey response — day 42, dose 2MedDRA: Breast pain, Nipple pain, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: severe breast pain about 1 week after my 2nd shot and now it is back again. The pain is specifically in both of my nipples. I had to go to the doctor today for help. She thinks it is related to the vaccine. I now have to go get an ultrasound 2 weeks · Healthcare visit (other): Doctors office visit to ON/GYNMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-28
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-18
- 2022-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-28 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Repeated stabbing pain in head and neck. Body pain so severe I was crying.
Systemic reaction (other): Overall unwell feeling again today.
Release 8 — day 14, dose 2
Symptoms: Extreme breast pain. Started about a week after the 2nd dose. It is still ongoing.
Release 8 — day 42, dose 2
Symptoms: severe breast pain about 1 week after my 2nd shot and now it is back again. The pain is specifically in both of my nipples. I had to go to the doctor today for help. She thinks it is related to the vaccine. I now have to go get an ultrasound 2 weeks cut off by CDC
Healthcare visit (other): Doctors office visit to ON/GYN
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Breast pain | ✓ | ✓ | ✓ |
| SD | Nipple pain | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release