YU9-13875-36135
4 vaccinations
5 coded responses
29 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 925 / CA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Immediate post-injection reaction, Lip swelling — Feeling: Good · Site: ItchingFree text: On day 1 about 20 minutes after the vaccine I had just a bit of minor swelling on the left side of my lips. Same side as injection. But no other reactionsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
- 2021-02-09
- 2021-02-15
-
2021-02-18
Dose 2 — Moderna
-
2021-02-18
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
- 2021-02-20
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: I just want to say I have been diagnosed with breast cancer. But that the imaging was done 1 week before my first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-02-27
-
2021-03-04
Survey response — day 14, dose 2MedDRA: Condition aggravated, Pre-existing disease — 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: Breast cancer diagnosis. But apparently started before vaccinationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-13
-
2021-03-18
Survey response — day 28, dose 2MedDRA: Mastectomy — Feeling: Poor · Be unable to workFree text: Mastectomy bilateralMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-03
-
2021-05-20
Survey response — 3 months, dose 2MedDRA: Anaemia, Breast cancer, Chemotherapy, Emergency care, Haemorrhage, Mastectomy, Pre-existing disease — Feeling: Fair · Be unable to workFree text: I have breast cancer. So not great but I have just managed my first chemo administration. when I had surgery, total mastectomy, I had severe bleeding and had to have emergency surgery. I believe anemia and blood probably related to COVID vaxMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-21
Dose 3 — Moderna
- 2021-08-21
- 2021-11-21
-
2022-01-22
Dose 4 — Moderna
- 2022-02-20
- 2022-02-20
- 2022-02-22
- 2022-03-05
- 2022-04-23
- 2022-07-23
- 2023-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-08-21 | Moderna | No |
| 4 | 2022-01-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-04 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): On day 1 about 20 minutes after the vaccine I had just a bit of minor swelling on the left side of my lips. Same side as injection. But no other reactions
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I just want to say I have been diagnosed with breast cancer. But that the imaging was done 1 week before my first shot.
Release 5 — day 14, dose 2
Symptoms: Breast cancer diagnosis. But apparently started before vaccinations
Release 5 — day 28, dose 2
Symptoms: Mastectomy bilateral
Release 8 — 3 months, dose 2
Symptoms: I have breast cancer. So not great but I have just managed my first chemo administration. when I had surgery, total mastectomy, I had severe bleeding and had to have emergency surgery. I believe anemia and blood probably related to COVID vax
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 | Anaemia | ✓ | ✓ | ✓ |
| SD | Breast cancer | ✓ | ✓ | ✓ |
| SD | Chemotherapy | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Haemorrhage | ✓ | ✓ | ✓ |
| SD | Mastectomy | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release