6PD-21998-55289
2 vaccinations
3 coded responses
11 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 535 / WI
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Moderna
-
2021-03-15
Registered in v-safe
-
2021-03-15
Survey response — day 14, dose 1MedDRA: Chills, Fatigue, Malaise, Nausea, Oropharyngeal pain, Pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Vaccine #1 02/27. Felt sick no fever 03/05. Extreme fatigue-did almost nothing for a week. Mild symptoms: runny nose, sore throat, congestion, minor aches, chills, nausea. Felt nasty. Improving as of 03/14. Tested for COVID 03/12/21: NEG.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
-
2021-03-27
Dose 2 — Moderna
-
2021-04-03
Survey response — day 7, dose 2MedDRA: Erythema, Injection site cellulitis, Injection site swelling, Pruritus — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I was sick above symptoms on the 27th, 28th, 29th 30th. My temp is usually 97.2. It went up to 99.8. thought cellulitis at the injection site. That started the 29th. As big around as a grapefruit, raised @ 1/2 " +. Today is 4/3. Arm is now a little pink, selling home, still itchesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-06-26
- 2021-09-25
-
2022-03-30
Survey response — 12 months, dose 2MedDRA: Cough, Fatigue, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Cough, exhaustion, slight gender · Healthcare visit (other): Doctor visitMedDRA releases: 2024-11 · check-in free text available
-
2022-03-30
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-03-27 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 14, dose 1
Symptoms: Vaccine #1 02/27. Felt sick no fever 03/05. Extreme fatigue-did almost nothing for a week. Mild symptoms: runny nose, sore throat, congestion, minor aches, chills, nausea. Felt nasty. Improving as of 03/14. Tested for COVID 03/12/21: NEG.
Release 6 — day 7, dose 2
Systemic reaction (other): I was sick above symptoms on the 27th, 28th, 29th 30th. My temp is usually 97.2. It went up to 99.8. thought cellulitis at the injection site. That started the 29th. As big around as a grapefruit, raised @ 1/2 " +. Today is 4/3. Arm is now a little pink, selling home, still itches
Release 11 — 12 months, dose 2
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site cellulitis | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release