6HL-32800-07134
4 vaccinations
8 coded responses
53 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 941 / CA
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
-
2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · DiarrheaAdult check-in
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
-
2021-01-20
Survey response — day 7, dose 1MedDRA: Influenza like illness, Nasopharyngitis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness, Nausea, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Feel like a cold or flu is coming on a littleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-26
Survey response — day 14, dose 1MedDRA: Confusional state, Influenza like illness, Injection site erythema, Injection site haemorrhage, Injection site mass — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I developed a almost golfball Sizes red lump at the insertion site almost 8 days after the vaccine And I also developed mild flu like symptoms It also started bleeding almost a week later. It was very confusing to have the symptoms that far aftMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
- 2021-02-09
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-25
-
2021-03-26
Call successfulCompleted over the phone
-
2021-04-15
Pregnancy registry surveyNot pregnant at or since vaccination ·
- 2021-05-11
- 2021-08-10
-
2021-10-24
Dose 3 — ModernaCo-administered: Flu
- 2021-10-24
-
2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, HeadacheAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis — Feeling: GoodFree text: I've been very sweaty since the vaccine. My face drops sweat with almost no exertion, the sheets are damp. Very odd for meMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
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2021-11-28
Survey response — day 35, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: Head coldMedDRA releases: 2024-11 · check-in free text available
- 2021-12-05
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2022-01-23
Survey response — 3 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had Covid-19MedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Survey response — 6 months, dose 3MedDRA: Pain in extremity, Rash vesicular — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Vesicular rash and calf painMedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-25
-
2022-10-23
Dose 4 — ModernaCo-administered: Flu
- 2022-10-24
-
2022-10-24
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-25
-
2022-10-26
Survey response — days 1–6 daily, dose 4MedDRA: Hyperhidrosis, Night sweats — Feeling: FairFree text: Sweating with no exertion and night sweatsMedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-11-06
- 2022-11-13
- 2022-11-20
-
2022-11-27
Survey response — day 35, dose 4MedDRA: Gastroenteritis viral — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have a stomach virusMedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
- 2023-01-22
- 2023-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-10-24 | Moderna | Flu |
| 4 | 2022-10-23 | Moderna | Flu |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Feel like a cold or flu is coming on a little
Release 2 — day 14, dose 1
Symptoms: I developed a almost golfball Sizes red lump at the insertion site almost 8 days after the vaccine And I also developed mild flu like symptoms It also started bleeding almost a week later. It was very confusing to have the symptoms that far aft
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I've been very sweaty since the vaccine. My face drops sweat with almost no exertion, the sheets are damp. Very odd for me
Release 10 — day 35, dose 3
Symptoms: Head cold
Release 11 — 3 months, dose 3
Symptoms: I had Covid-19
Release 11 — 6 months, dose 3
Symptoms: Vesicular rash and calf pain
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Sweating with no exertion and night sweats
Release 12 — day 35, dose 4
Symptoms: I have a stomach virus
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 | Confusional state | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site haemorrhage | ✓ | ✓ | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Rash vesicular | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Influenza like illness | ✓ | · | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Night sweats | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release