3DT-31507-10822
1 vaccination
4 coded responses
12 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 341 / FL
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-03-12
Registered in v-safe
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Hypertension — Feeling: Good · Site: PainFree text: Noticed blood pressure was high this morning and return to healthy normal by afternoonMedDRA 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 1MedDRA: Blood pressure increased, Pain in extremity — Feeling: Good · Site: PainFree text: My vaccine was 3/11. My left arm was sore that evening yet acceptable. Thought you might find it interesting the next day when I woke up my blood pressure was higher than normal. By mid morning my pressure was lower and acceptable and by late mid afternoon was normal and excellent. Today even better. Thought you might find interesting.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
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2021-03-18
Survey response — day 7, dose 1MedDRA: Dry eye, Feeling hot — Feeling: Fair · Fatigue or tirednessFree text: Eyes dry and a little warmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-01
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2021-06-10
Survey response — 3 months, dose 1MedDRA: Blood chromium increased, Blood cobalt increased, Device material issue — Feeling: GoodFree text: My high Cobalt and Chromium level as the result of a defective right hip prosthetic shot up from a high level of 9 3/9/21 to 18 6/3/21. Probably no correlation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-09
- 2022-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Noticed blood pressure was high this morning and return to healthy normal by afternoon
Systemic reaction (other): My vaccine was 3/11. My left arm was sore that evening yet acceptable. Thought you might find it interesting the next day when I woke up my blood pressure was higher than normal. By mid morning my pressure was lower and acceptable and by late mid afternoon was normal and excellent. Today even better. Thought you might find interesting.
Release 5 — day 7, dose 1
Systemic reaction (other): Eyes dry and a little warm
Release 9 — 3 months, dose 1
Symptoms: My high Cobalt and Chromium level as the result of a defective right hip prosthetic shot up from a high level of 9 3/9/21 to 18 6/3/21. Probably no correlation.
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 | Blood chromium increased | ✓ | ✓ | ✓ |
| SD | Blood cobalt increased | ✓ | ✓ | ✓ |
| SD | Device material issue | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release