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ZZS-14134-16717

2 vaccinations 12 coded responses 24 check-ins 12 free-text entries 3 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
377 / TN
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  6. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  7. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Fair · None
    Adult check-in
  10. 2021-03-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-01
    Survey response — day 21, dose 1
    MedDRA: Breast mass, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I found a lump in my breast, the same breast i had cancer in 11yrs ago, my last cancer was grade c stage 1, the lump is a size of a pea, & it is on the same side as before, i have been to the dr · Healthcare visit (other): Regular doctor visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-01
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-04-08
    Survey response — day 28, dose 1
    MedDRA: Breast mass — Feeling: Good
    Free text: Found lump in breast, have 2nd shot tomorrow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-09
    Dose 2 — Moderna
  15. 2021-04-09
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast mass — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Lump in breast
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  18. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast mass — Feeling: Good · Site: Swelling
    Free text: Lump in breast
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast mass — Feeling: Good · Site: Swelling
    Free text: Lump in breast
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast mass — Feeling: Good · Site: Swelling
    Free text: Lump in breast
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-16
    Survey response — day 7, dose 2
    MedDRA: Breast mass — Feeling: Good
    Free text: Lump in breast
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-30
    Survey response — day 21, dose 2
    MedDRA: Breast mass — Feeling: Good
    Free text: Lump in breast, had mammogram and ultrasound, will be doing biopsy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-07
    Survey response — day 28, dose 2
    MedDRA: Breast mass, Burning sensation, Muscle spasms, Musculoskeletal pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Lump in breast was benign, but have muscle spasms between my shoulder blades, sometimes theres a burning sensation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-14
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-05-21
    Survey response — day 42, dose 2
    MedDRA: Bone pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Bones aching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-06-08
    Call successful
    Does not wish to fill out VAERS report
  28. 2021-07-09
    Survey response — 3 months, dose 2
    MedDRA: Dehydration, Muscle spasms, Myalgia, Office visit, Pain, Scoliosis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Symptoms: Muscle spasms, scoliosis, sore muscles, aches & pains in body, dehydration · Healthcare visit (other): Dr. Visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-07-09
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-07-14
    Call successful
    Does not wish to fill out VAERS report
  31. 2021-10-08
    Survey response — 6 months, dose 2
    MedDRA: Breast mass, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Lumps in breast · Healthcare visit (other): Mammogram & ultrasound
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-08
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  33. 2021-10-14
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-09Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — day 21, dose 1

2021-04-01

Symptoms: I found a lump in my breast, the same breast i had cancer in 11yrs ago, my last cancer was grade c stage 1, the lump is a size of a pea, & it is on the same side as before, i have been to the dr
Healthcare visit (other): Regular doctor visit

Release 7 — day 28, dose 1

2021-04-08

Symptoms: Found lump in breast, have 2nd shot tomorrow

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Lump in breast

2021-04-12

Systemic reaction (other): Lump in breast

2021-04-13

Systemic reaction (other): Lump in breast

2021-04-15

Systemic reaction (other): Lump in breast

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Lump in breast

Release 8 — day 21, dose 2

2021-04-30

Symptoms: Lump in breast, had mammogram and ultrasound, will be doing biopsy

Release 8 — day 28, dose 2

2021-05-07

Symptoms: Lump in breast was benign, but have muscle spasms between my shoulder blades, sometimes theres a burning sensation

Release 8 — day 42, dose 2

2021-05-21

Symptoms: Bones aching

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: Muscle spasms, scoliosis, sore muscles, aches & pains in body, dehydration
Healthcare visit (other): Dr. Visit

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Lumps in breast
Healthcare visit (other): Mammogram & ultrasound

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
HCVOUnevaluable event · · ✓
SDBone pain ✓ ✓ ✓
SDBreast mass ✓ ✓ ✓
SDBurning sensation ✓ ✓ ✓
SDDehydration ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SDMusculoskeletal pain ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDScoliosis ✓ ✓ ✓
SROBreast mass ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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