ZME-29271-24819
4 vaccinations
3 coded responses
43 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 070 / NJ
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
-
2021-02-11
Survey response — day 21, dose 1MedDRA: Arthralgia, Breast cancer, Breast pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Pain & swelling under & to the left of left breast due to broken 7th breast. Due to history of breast cancer, PET scan sceduled to see if cancer has metastasized. Pain started 10 days after first vaccine shot in left shoulder probably not related. · Healthcare visit (other): Also received in office appointment with health car providerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-21
Dose 2 — Moderna
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-22
- 2021-03-28
- 2021-04-04
- 2021-05-23
-
2021-07-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-08-22
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, NauseaFree text: SweatingMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-13
Dose 4 — Moderna
-
2022-04-29
Survey response — day 14, dose 4MedDRA: Arthralgia, Injection site pain, Myalgia, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: About 20hrs after 2nd booster, I came down with sore arm at injection site, fever, and severe aches and pains in every muscle and joint in my body. Lasted about 24hrs, then gradually subsided.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-11
- 2022-05-18
- 2022-05-27
- 2022-07-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-21 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-13 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-11 | Successful 2021-07-21 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 4 — day 21, dose 1
Symptoms: Pain & swelling under & to the left of left breast due to broken 7th breast. Due to history of breast cancer, PET scan sceduled to see if cancer has metastasized. Pain started 10 days after first vaccine shot in left shoulder probably not related. cut off by CDC
Healthcare visit (other): Also received in office appointment with health car provider
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sweating
Release 11 — day 14, dose 4
Symptoms: About 20hrs after 2nd booster, I came down with sore arm at injection site, fever, and severe aches and pains in every muscle and joint in my body. Lasted about 24hrs, then gradually subsided.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Breast cancer | ✓ | ✓ | ✓ |
| SD | Breast pain | ✓ | ✓ | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release