6G5-19664-65830
1 vaccination
3 coded responses
11 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 191 / PA
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
-
2021-04-02
Survey response — day 35, dose 1MedDRA: COVID-19, Hospitalisation — 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 was hospitalized with Covid19 one/11/21 and discharged 3/20/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Report sent to call center — day 35, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-12
-
2021-05-28
Survey response — 3 months, dose 1MedDRA: Cerebrovascular accident, Hospitalisation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I experienced a mild stroke lasting perhaps 7 to 1 0 minutes and then disappearing with no residual effects. I am in the process of securing an appointment with a Neurologist at (b)(6) Hospital.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-28
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-11
-
2022-02-26
Survey response — 12 months, dose 1MedDRA: Abdominal pain, Asthenia, COVID-19, Fatigue, Memory impairment, Pain in extremity, Unevaluable event, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still have memory problem, sight, waistline pain, balance, leg pain, and urinary track infection, low energy I get tired and all this after covid-19 bout.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — day 35, dose 1
Symptoms: I was hospitalized with Covid19 one/11/21 and discharged 3/20/21
Release 8 — 3 months, dose 1
Symptoms: I experienced a mild stroke lasting perhaps 7 to 1 0 minutes and then disappearing with no residual effects. I am in the process of securing an appointment with a Neurologist at (b)(6) Hospital.
redacted (b)(6)
Release 11 — 12 months, dose 1
Symptoms: Still have memory problem, sight, waistline pain, balance, leg pain, and urinary track infection, low energy I get tired and all this after covid-19 bout.
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 | Abdominal pain | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cerebrovascular accident | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release