5DA-14723-09965
2 vaccinations
2 coded responses
13 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 574 / SD
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 2 — Moderna
-
2021-01-25
Survey response — day 0, dose 2MedDRA: Emergency care, Hypertension, Pre-existing disease, Therapy change — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: After my first injection my blood pressure spiked. I went to the emergency department and my pressure was 165/105. The only that changed is that I had the injection. I had my yearly physical a couple months prior and all was well. I do have high blood pressure and I am on medication for this. As of now my doctor has doubled my dose. As of today my blood pressure is 155/96. I dont know if the two are related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-01-27
- 2021-01-28
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-02-01
Survey response — day 7, dose 2MedDRA: Blood pressure abnormal — Feeling: GoodFree text: Continuing to battle with my blood pressure. I did see my doctor concerning this. As of now still same issue as reported earlier.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2022-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna |
Free text
Release 2 — day 0, dose 2
Systemic reaction (other): After my first injection my blood pressure spiked. I went to the emergency department and my pressure was 165/105. The only that changed is that I had the injection. I had my yearly physical a couple months prior and all was well. I do have high blood pressure and I am on medication for this. As of now my doctor has doubled my dose. As of today my blood pressure is 155/96. I dont know if the two are related.
Release 3 — day 7, dose 2
Systemic reaction (other): Continuing to battle with my blood pressure. I did see my doctor concerning this. As of now still same issue as reported earlier.
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 |
|---|---|---|---|---|
| SRO | Blood pressure abnormal | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | · | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Therapy change | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release