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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

  1. 2021-02-27
    Dose 1 — Moderna
  2. 2021-03-15
    Registered in v-safe
  3. 2021-03-15
    Survey response — day 14, dose 1
    MedDRA: 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 activities
    Free 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
  4. 2021-03-21
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-03-27
    Dose 2 — Moderna
  6. 2021-04-03
    Survey response — day 7, dose 2
    MedDRA: 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 activities
    Free 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 itches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-04-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-04-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-05-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-09-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2022-03-30
    Survey response — 12 months, dose 2
    MedDRA: Cough, Fatigue, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Cough, exhaustion, slight gender · Healthcare visit (other): Doctor visit
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-03-30
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2022-03-31

Vaccinations

DoseDateManufacturerCo-administered
12021-02-27Moderna
22021-03-27Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-15

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

2021-04-03

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

2022-03-30

Symptoms: Cough, exhaustion, slight gender
Healthcare visit (other): Doctor visit

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
HCVOOffice visit · · ✓
SDChills ✓ ✓ ✓
SDCough · · ✓
SDFatigue ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROInjection site cellulitis ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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