2GL-11401-54379
2 vaccinations
1 coded response
4 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 535 / WI
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Moderna
-
2021-02-26
Dose 2 — Moderna
-
2021-03-02
Registered in v-safe
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Fall, Gait disturbance, Headache, Pyrexia — Feeling: GoodFree text: I wanted to report that I received my second dose of the vaccine February 26. During the night I had fever and headache. I fell because I couldnt function normally. I couldnt hold a paper cup to get a drink. I tried to get back to the bed and fell as I couldnt walk. My husband helped me into the bed. The fever and headache lasted for a couple hours, I was able to sleep about 3hours. When I woke up IcouldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I wanted to report that I received my second dose of the vaccine February 26. During the night I had fever and headache. I fell because I couldnt function normally. I couldnt hold a paper cup to get a drink. I tried to get back to the bed and fell as I couldnt walk. My husband helped me into the bed. The fever and headache lasted for a couple hours, I was able to sleep about 3hours. When I woke up Icould
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 |
|---|---|---|---|---|
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Fall | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release