2TT-40571-98534
2 vaccinations
3 coded responses
11 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 544 / WI
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Dose 1 — Moderna
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 2 — Moderna
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Fatigue or tirednessAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-22
-
2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Anaemia, Fatigue, Neoplasm malignant, Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree text: You might want to know that I have three types of cancer which makes me anemic. As a result I struggle with fatigue most of the time. The COVID shot just made it worse for now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-25
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-01
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2021-09-18
Survey response — 6 months, dose 2MedDRA: Asthenia, Hospitalisation, Infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I spent six nights in the hospital with an infection of unknown origin. I was dismissed on July 28th and am still trying to get some strength and energy back. I just stopped using a cane a few days ago. The doctors have no clue as to what happened.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-18
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-21
-
2022-03-20
Survey response — 12 months, dose 2MedDRA: Basal cell carcinoma, Cancer surgery, Pneumonia, Skin graft — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Lung infection and later squamous cell carcinoma and invasive basal cell in close proximity which ultimately required a graft.MedDRA releases: 2024-11 · check-in free text available
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2022-03-20
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-18 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): You might want to know that I have three types of cancer which makes me anemic. As a result I struggle with fatigue most of the time. The COVID shot just made it worse for now.
Release 9 — 6 months, dose 2
Symptoms: I spent six nights in the hospital with an infection of unknown origin. I was dismissed on July 28th and am still trying to get some strength and energy back. I just stopped using a cane a few days ago. The doctors have no clue as to what happened. cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: Lung infection and later squamous cell carcinoma and invasive basal cell in close proximity which ultimately required a graft.
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 | Asthenia | · | · | ✓ |
| SD | Basal cell carcinoma | · | · | ✓ |
| SD | Cancer surgery | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Infection | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Skin graft | · | · | ✓ |
| SRO | Anaemia | ✓ | ✓ | ○ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Neoplasm malignant | ✓ | ✓ | ○ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release