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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

  1. 2021-02-19
    Dose 1 — Moderna
  2. 2021-02-20
    Registered in v-safe
  3. 2021-02-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: I feel like I did when I had the virus in October.. Ive been in bed all day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction, Pre-existing disease — Feeling: Good · Site: Redness · Fatigue or tiredness
    Free 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
  6. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2021-02-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: SARS-CoV-2 test positive — Feeling: Good · Fatigue or tiredness
    Free 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
  8. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-08-20
    Health check-in — 6 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-19Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): I feel like I did when I had the virus in October.. Ive been in bed all day

2021-02-22

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.

2021-02-24

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

FieldPreferred term2021-092023-042024-11
SROAdverse reaction ✓ ✓ ✓
SROHospitalisation ○ ○ ○
SROOxygen consumption ○ ○ ○
SROPre-existing disease ✓ ✓ ✓
SROSARS-CoV-2 test positive ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release