Y5Q-32739-74450
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 600 / IL
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Dose 1 — Moderna
-
2021-02-11
Registered in v-safe
- 2021-02-11
- 2021-02-16
-
2021-02-23
Survey response — day 21, dose 1MedDRA: Chills, Dysuria, Fatigue, Pyrexia, Urinary tract infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have had a fever, chills, burning during urination and exhausted for the past 5 days due to a UTI (e coli detected). My doctor does not believe this is associated with my first dose Covid vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-02
Dose 2 — Moderna
- 2021-03-02
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Have been diagnosed with an e Coli infection, which may in part be contributing to fatigue. On second course of antibiotics to treat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Dizziness but unclear if from vaccine, or antibiotics being taken to get rid of an infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
-
2021-03-09
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-17
- 2021-03-25
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-06-01
- 2021-08-31
- 2021-11-14
- 2022-03-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-23 | Unsuccessful |
Free text
Release 4 — day 21, dose 1
Symptoms: I have had a fever, chills, burning during urination and exhausted for the past 5 days due to a UTI (e coli detected). My doctor does not believe this is associated with my first dose Covid vaccination.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Have been diagnosed with an e Coli infection, which may in part be contributing to fatigue. On second course of antibiotics to treat.
Systemic reaction (other): Dizziness but unclear if from vaccine, or antibiotics being taken to get rid of an infection
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 | Chills | ✓ | ✓ | ✓ |
| SD | Dysuria | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release