2TK-48317-10742
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 625 / IL
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
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2021-01-22
Dose 1 — Moderna
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2021-01-22
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: GoodFree text: Teenytiny bit dizzy I am lightheaded when I first got injected this morning but have since gone away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: GoodFree text: No appetite MILDMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
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2021-02-18
Dose 2 — Moderna
- 2021-02-20
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea, Pain — Feeling: Good · DiarrheaFree text: A small amount of diarrhea on Friday that I am not sure it was related to the shots and I felt achy and third stay but I didnt know if it was my physical therapy or notMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-02-24
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2021-02-25
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Note: ivermectin. I said mildbutin reality Ive had noneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — day 14, dose 2MedDRA: Chest injury, Fall — Feeling: PoorFree text: Fell and rib may be brokenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
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2021-08-19
Survey response — 6 months, dose 2MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a stomach flu last Saturday. August 14, 2021MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-19
Survey response — 12 months, dose 2MedDRA: Progressive supranuclear palsy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I Was diagnosed with PSPMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Teenytiny bit dizzy I am lightheaded when I first got injected this morning but have since gone away.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): No appetite MILD
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): A small amount of diarrhea on Friday that I am not sure it was related to the shots and I felt achy and third stay but I didnt know if it was my physical therapy or not
Release 4 — day 7, dose 2
Systemic reaction (other): Note: ivermectin. I said mildbutin reality Ive had none
Release 5 — day 14, dose 2
Symptoms: Fell and rib may be broken
Release 9 — 6 months, dose 2
Symptoms: Had a stomach flu last Saturday. August 14, 2021
Release 11 — 12 months, dose 2
Symptoms: I Was diagnosed with PSP
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 | Chest injury | ✓ | ✓ | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | ✓ | · | ✓ |
| SD | Progressive supranuclear palsy | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release