YQ7-32728-60262
4 vaccinations
6 coded responses
32 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 335 / FL
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-03-13
Registered in v-safe
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
-
2021-03-26
Survey response — day 14, dose 1MedDRA: Breast pain — Feeling: GoodFree text: Non cyclical Right breast painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Survey response — day 21, dose 1MedDRA: Breast pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Continued non-cyclical breast pain · Healthcare visit (other): Primary MDMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-11
- 2021-04-12
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-22
-
2021-06-11
Call successfulParticipant prefers to complete VAERS report online
-
2021-07-09
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Cold like- runny nose, sore throat that lasted for a few days- but better nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-10
-
2021-12-17
Dose 3 — Moderna
- 2022-04-09
-
2023-04-16
Dose 4 — Moderna
-
2023-04-17
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-04-18
- 2023-04-20
-
2023-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy — Feeling: Good · Headache, Fatigue or tirednessMedDRA releases: 2024-11
-
2023-04-23
Survey response — day 7, dose 4MedDRA: Pregnancy — Feeling: Good · Fatigue or tirednessMedDRA releases: 2024-11
- 2023-04-30
- 2023-05-11
- 2023-05-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-12-17 | Moderna | No |
| 4 | 2023-04-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-03 | Successful 2021-06-11 |
Participant prefers to complete VAERS report online |
Free text
Release 6 — day 14, dose 1
Symptoms: Non cyclical Right breast pain
Release 6 — day 21, dose 1
Release 9 — 3 months, dose 2
Symptoms: Cold like- runny nose, sore throat that lasted for a few days- but better now
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 | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release