6HC-14121-54085
6 vaccinations
4 coded responses
66 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 725 / AR
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-03-25
Registered in v-safe
-
2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Injection site warmth — Feeling: Fair · Site: Pain · Headache, NauseaFree text: Injection site extremely hot to touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Injection site warmth, Pruritus, Rash, Swelling — Feeling: Fair · Site: Pain, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: The swelling, itching, and rash that I have is in my hand and lower arm away from where I got the injection. The injection site has only been painful and hot to touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-16
-
2021-04-21
Dose 2 — Moderna
- 2021-04-21
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-07-21
- 2021-10-20
-
2021-11-23
Dose 3 — Moderna
- 2022-04-21
- 2022-05-24
-
2022-05-31
Dose 4 — Moderna
-
2022-06-01
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain, Injection site rash — Feeling: Good · Site: PainFree text: Moderate pain and rash at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-06-02
- 2022-06-03
- 2022-06-04
- 2022-06-05
- 2022-06-06
- 2022-06-07
- 2022-06-14
- 2022-06-21
-
2022-06-28
Survey response — day 28, dose 4MedDRA: Deep vein thrombosis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: DVT in left leg. Clot is behind left knee. Doctor put me on Eliquis to break up the clot. I'm just taking medication at home for this condition and they hope it resolves with medicine. Will re-ultrasound it in 4 weeks.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-28
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-29
-
2022-06-29
Callback requested for03:00PM ET
-
2022-06-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-05
- 2022-07-12
- 2022-08-30
-
2022-10-18
Dose 5 — Moderna
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2023-01-17
- 2023-04-18
-
2023-05-09
Dose 6 — Moderna
-
2023-05-10
Health check-in — days 1–6 daily, dose 6Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2023-05-11
Health check-in — days 1–6 daily, dose 6Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2023-05-12
- 2023-05-13
- 2023-05-14
- 2023-05-15
- 2023-05-16
- 2023-05-23
- 2023-05-30
- 2023-06-06
- 2023-06-13
- 2023-06-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-05-31 | Moderna | No |
| 5 | 2022-10-18 | Moderna | No |
| 6 | 2023-05-09 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site extremely hot to touch
Systemic reaction (other): The swelling, itching, and rash that I have is in my hand and lower arm away from where I got the injection. The injection site has only been painful and hot to touch.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Moderate pain and rash at injection site
Release 12 — day 28, dose 4
Symptoms: DVT in left leg. Clot is behind left knee. Doctor put me on Eliquis to break up the clot. I'm just taking medication at home for this condition and they hope it resolves with medicine. Will re-ultrasound it in 4 weeks.
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 | Deep vein thrombosis | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site rash | · | · | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release