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34M-25960-51118

2 vaccinations 5 coded responses 21 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
544 / WI
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-01
    Dose 1 — Moderna
  2. 2021-02-02
    Registered in v-safe
  3. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Fever · Chills, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills
    Adult check-in
  6. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  7. 2021-02-08
    Health check-in — day 7, dose 1
    Feeling: Fair · None
    Adult check-in
  8. 2021-02-15
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-02-22
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-03-01
    Dose 2 — Moderna
  11. 2021-03-01
    Health check-in — day 0, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-03-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Not sure which of my eggs are from diabetes, arthritis or the Covid shot?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diabetes mellitus, Dizziness — Feeling: Poor · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizzy from Covid shot? Diabetes? Or something else?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-03-08
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  19. 2021-03-15
    Health check-in — day 14, dose 2
    Feeling: Poor
    Adult check-in
  20. 2021-03-22
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-03-29
    Survey response — day 28, dose 2
    MedDRA: Arthralgia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: My arthritic knees Ive gotten much more painful and I am a little busier than I was three years ago
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-05
    Survey response — day 35, dose 2
    MedDRA: Arthritis, Diabetes mellitus, Pre-existing disease — Feeling: Poor
    Free text: Arthritis and diabetes or wrong medications are bugging me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-12
    Survey response — day 42, dose 2
    MedDRA: Blood glucose abnormal, Blood glucose decreased, Dizziness, Medical counselling, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Dizziness and lightheadedness today worse. Diabetes nurse says I should quit Glimeperide because of too many blood sugar lows.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-06-02
    Health check-in — 3 months, dose 2
    Feeling: Poor
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-01Moderna
22021-03-01Moderna

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Not sure which of my eggs are from diabetes, arthritis or the Covid shot?

2021-03-05

Systemic reaction (other): Dizzy from Covid shot? Diabetes? Or something else?

Release 6 — day 28, dose 2

2021-03-29

Symptoms: My arthritic knees Ive gotten much more painful and I am a little busier than I was three years ago

Release 6 — day 35, dose 2

2021-04-05

Symptoms: Arthritis and diabetes or wrong medications are bugging me.

Release 7 — day 42, dose 2

2021-04-12

Symptoms: Dizziness and lightheadedness today worse. Diabetes nurse says I should quit Glimeperide because of too many blood sugar lows.

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
SDArthralgia ✓ ✓ ✓
SDArthritis ✓ ✓ ✓
SDBlood glucose abnormal ○ ✓ ○
SDBlood glucose decreased ✓ · ✓
SDDiabetes mellitus ✓ ✓ ✓
SDDizziness ✓ · ✓
SDMedical counselling ✓ · ✓
SDPre-existing disease ✓ ✓ ✓
SRODiabetes mellitus ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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