5PZ-52380-56249
1 vaccination
3 coded responses
7 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 992 / WA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Energy increased, Injection site pain, Injection site pruritus, Vertigo — Feeling: Good · Site: Pain, ItchingFree text: I experienced a slight degree of vertigo, for about 2 hours, following my vaccination. I also experienced mild pai/itching, at the injection site as well as experiencing elevated energy(no;tachycardia/elevated heart rate, or change in my diastolic/systolic bp). The energy that i experienced, was analogous to a massive adrenaline rush, which i am still experiencing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Flatulence — Feeling: GoodFree text: Slight degree of gastrointestinal discomfort, gas and cramps, as i previously mentioned yesterday. Symptoms have improved significantly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-06
- 2021-02-13
- 2021-02-18
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2021-07-29
Survey response — 6 months, dose 1MedDRA: Asthenia, Benign prostatic hyperplasia, Colitis, Dizziness, Dysuria, Muscle spasms, Musculoskeletal pain, Vertigo, Weight decreased — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Colitis. Benign Prostate Hyperplasia. Musculoskeletal pain cramping massive weight loss. Difficulty urinating vertigo dizziness weakness. Lack of energyMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I experienced a slight degree of vertigo, for about 2 hours, following my vaccination. I also experienced mild pai/itching, at the injection site as well as experiencing elevated energy(no;tachycardia/elevated heart rate, or change in my diastolic/systolic bp). The energy that i experienced, was analogous to a massive adrenaline rush, which i am still experiencing.
Systemic reaction (other): Slight degree of gastrointestinal discomfort, gas and cramps, as i previously mentioned yesterday. Symptoms have improved significantly.
Release 9 — 6 months, dose 1
Symptoms: Colitis. Benign Prostate Hyperplasia. Musculoskeletal pain cramping massive weight loss. Difficulty urinating vertigo dizziness weakness. Lack of energy
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 | Benign prostatic hyperplasia | ✓ | · | ✓ |
| SD | Colitis | ✓ | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Dysuria | ✓ | · | ✓ |
| SD | Muscle spasms | ✓ | · | ✓ |
| SD | Musculoskeletal pain | ✓ | · | ✓ |
| SD | Vertigo | ✓ | · | ✓ |
| SD | Weight decreased | ✓ | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Energy increased | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release