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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

  1. 2021-02-18
    Dose 1 — Moderna
  2. 2021-03-18
    Registered in v-safe
  3. 2021-03-18
    Dose 2 — Moderna
  4. 2021-03-18
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Fatigue or tiredness
    Adult check-in
  6. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  9. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anaemia, Fatigue, Neoplasm malignant, Pre-existing disease — Feeling: Fair · Fatigue or tiredness
    Free 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
  10. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-25
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-04-01
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-09-18
    Survey response — 6 months, dose 2
    MedDRA: 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, Hospitalization
    Free 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
  14. 2021-09-18
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-09-21
  16. 2022-03-20
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free 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
  17. 2022-03-20
    Report sent to call center — 12 months, dose 2
    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 visit · 1 call case(s)
  18. 2022-03-23

Vaccinations

DoseDateManufacturerCo-administered
12021-02-18Moderna
22021-03-18Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-23

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

2021-09-18

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

2022-03-20

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

FieldPreferred term2021-092023-042024-11
SDAsthenia · · ✓
SDBasal cell carcinoma · · ✓
SDCancer surgery · · ✓
SDHospitalisation · · ✓
SDInfection · · ✓
SDPneumonia · · ✓
SDSkin graft · · ✓
SROAnaemia ✓ ✓ ○
SROFatigue ✓ ✓ ✓
SRONeoplasm malignant ✓ ✓ ○
SROPre-existing disease · · ✓

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