E6K-28930-80917
1 vaccination
6 coded responses
12 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 050 / VT
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-04
Registered in v-safe
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2021-05-04
Dose 1 — Moderna
- 2021-05-04
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2021-05-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-06
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2021-05-07
Survey response — days 1–6 daily, dose 1MedDRA: Poor feeding infant — Feeling: GoodFree text: My 4 1/2 month hold however has had a mild rash and pooping more. He is EBF.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — days 1–6 daily, dose 1MedDRA: Breast feeding — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: My EBF baby has a rash and has been cranky.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Survey response — days 1–6 daily, dose 1MedDRA: Breast feeding — Feeling: Fair · Fever · Headache, Fatigue or tirednessFree text: My breastfeed baby has a rash and has been irritable since I got the covid shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — days 1–6 daily, dose 1MedDRA: Malaise, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tirednessFree text: Once again my EBF has a rash and has been cranky since I received my covid shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-18
- 2021-05-27
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2021-08-05
Survey response — 3 months, dose 1MedDRA: Diarrhoea, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea, aches & painsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-02
Survey response — 6 months, dose 1MedDRA: Abortion spontaneous, Appendicectomy, Surgery — 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 visit, Emergency room or emergency department visitFree text: Symptoms: Appendix removal Miscarriage · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-11-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-02 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): My 4 1/2 month hold however has had a mild rash and pooping more. He is EBF.
Systemic reaction (other): My EBF baby has a rash and has been cranky.
Systemic reaction (other): My breastfeed baby has a rash and has been irritable since I got the covid shot.
Systemic reaction (other): Once again my EBF has a rash and has been cranky since I received my covid shot.
Release 9 — 3 months, dose 1
Symptoms: Diarrhea, aches & pains
Release 10 — 6 months, dose 1
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 | Surgery | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Appendicectomy | · | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Poor feeding infant | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release