2SX-61184-95906
1 vaccination
3 coded responses
7 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 544 / WI
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Dose 1 — Moderna
-
2021-02-20
Registered in v-safe
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2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: I feel like I did when I had the virus in October.. Ive been in bed all dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction, Pre-existing disease — Feeling: Good · Site: Redness · Fatigue or tirednessFree text: Im surprised I had a problem with the first shot. Others who have had their first shot only had sore arm. I did have the virus in October and was very sick. Was given Rendesivir, steroids and oxygen. And hospitalized a couple days. Im 85 yrs old.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
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2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: SARS-CoV-2 test positive — Feeling: Good · Fatigue or tirednessFree text: I had the Covid the month of October 2020? I really havent felt the same as before. Even though Im 85 years old I fairly healthy and have led a very active life until the pandemic hit us. I did not think I would get sick with the first shot. Hope the second isnt worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-08-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I feel like I did when I had the virus in October.. Ive been in bed all day
Systemic reaction (other): Im surprised I had a problem with the first shot. Others who have had their first shot only had sore arm. I did have the virus in October and was very sick. Was given Rendesivir, steroids and oxygen. And hospitalized a couple days. Im 85 yrs old.
Systemic reaction (other): I had the Covid the month of October 2020? I really havent felt the same as before. Even though Im 85 years old I fairly healthy and have led a very active life until the pandemic hit us. I did not think I would get sick with the first shot. Hope the second isnt worse.
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Hospitalisation | ○ | ○ | ○ |
| SRO | Oxygen consumption | ○ | ○ | ○ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release