Z7Q-18447-01328
5 vaccinations
8 coded responses
43 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 548 / WI
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Dose 1 — Moderna
-
2021-02-10
Registered in v-safe
- 2021-02-10
- 2021-02-11
- 2021-02-12
-
2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose increased, Fatigue, Insulin therapy, Pre-existing disease, Somnolence — Feeling: Fair · Fatigue or tirednessFree text: I am a Type 1 diabetic on an insulin pump and for the last 2 days my blood sugar levels have bee very hard and not responding to increased insulin as usual which makes just feel like sleeping when blood sugar levels are high. I have to push myself to perform my daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose increased — Feeling: GoodFree text: Yesterday I reported that as a Type 1 brittle diabetic I had experienced high blood sugars unable to be lowered except with unusual high doses of insulin leading to fatigue and sleepiness. Today that has disappeared and U am back to my normal blood sugar and insulin routine. This is a normal pattern for me when Me body is fighting an infection. Im this is a normal reaction for me due to the vaccine. Please contact me if you have any questionsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
-
2021-03-09
Dose 2 — Moderna
- 2021-03-09
- 2021-03-10
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased — Feeling: Fair · Fatigue or tirednessFree text: Blood glucose levels ran higher than normal but where easier to bring down than with first shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased, Disturbance in attention, Feeling abnormal, Headache, Hypersomnia, Mental impairment — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Today my blood glucose levels have been higher than normal with some difficulty reducing them with insulin. Feeling slight headache along with brain fog difficult to figure out I should do next and unable to concentrate enough to even read. Awake for about 2hours and just waking up after 4 hour napMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
-
2021-03-24
Survey response — day 14, dose 2MedDRA: Asthenia, Blood glucose abnormal — Feeling: FairFree text: Have continued to experience unusually higher than normal blood sugar readings with low energy levelsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — day 21, dose 2MedDRA: Blood glucose increased — Feeling: GoodFree text: Continue with unusually increased blood sugar levels. Have had to increase my insulin pump basal rate by about 20% and insulin to cover food by about 35%MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Survey response — day 28, dose 2MedDRA: Blood glucose increased, Hypoglycaemia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My blood glucose levels have become unstable And Ive experienced 3 episodes of hypoglycemia in early mornings even though decreasing my previous level of basal insulin via pump by almost half. However during the day hours have had to double basalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — day 35, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Need to correct previous weeks reports about problems with maintaining blood glucose levels. They were the result of an insulin pump error rather than related to the vaccine. All is OK nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-06-08
- 2021-09-07
-
2021-11-11
Dose 3 — Moderna
- 2022-03-09
-
2022-04-20
Dose 4 — Moderna
- 2022-04-28
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-07-20
-
2022-09-26
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-25
- 2022-10-31
- 2022-11-07
- 2022-12-26
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
| 5 | 2022-09-26 | Pfizer-BioNTech | Flu |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I am a Type 1 diabetic on an insulin pump and for the last 2 days my blood sugar levels have bee very hard and not responding to increased insulin as usual which makes just feel like sleeping when blood sugar levels are high. I have to push myself to perform my daily activities
Systemic reaction (other): Yesterday I reported that as a Type 1 brittle diabetic I had experienced high blood sugars unable to be lowered except with unusual high doses of insulin leading to fatigue and sleepiness. Today that has disappeared and U am back to my normal blood sugar and insulin routine. This is a normal pattern for me when Me body is fighting an infection. Im this is a normal reaction for me due to the vaccine. Please contact me if you have any questions
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Blood glucose levels ran higher than normal but where easier to bring down than with first shot
Systemic reaction (other): Today my blood glucose levels have been higher than normal with some difficulty reducing them with insulin. Feeling slight headache along with brain fog difficult to figure out I should do next and unable to concentrate enough to even read. Awake for about 2hours and just waking up after 4 hour nap
Release 6 — day 14, dose 2
Symptoms: Have continued to experience unusually higher than normal blood sugar readings with low energy levels
Release 6 — day 21, dose 2
Symptoms: Continue with unusually increased blood sugar levels. Have had to increase my insulin pump basal rate by about 20% and insulin to cover food by about 35%
Release 7 — day 28, dose 2
Symptoms: My blood glucose levels have become unstable And Ive experienced 3 episodes of hypoglycemia in early mornings even though decreasing my previous level of basal insulin via pump by almost half. However during the day hours have had to double basal
Release 7 — day 35, dose 2
Symptoms: Need to correct previous weeks reports about problems with maintaining blood glucose levels. They were the result of an insulin pump error rather than related to the vaccine. All is OK now
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Blood glucose abnormal | ✓ | ✓ | ✓ |
| SD | Blood glucose increased | ✓ | ✓ | ✓ |
| SD | Hypoglycaemia | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Fatigue | ○ | ✓ | ○ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Insulin therapy | ○ | ✓ | ○ |
| SRO | Mental impairment | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Reading disorder | ○ | ○ | ○ |
| SRO | Sleep deficit | ○ | ○ | ○ |
| SRO | Somnolence | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release