5X2-31749-45181
4 vaccinations
4 coded responses
32 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 201 / VA
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-03-13
Registered in v-safe
- 2021-03-13
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-20
-
2021-03-25
Survey response — day 14, dose 1MedDRA: Hypertension, Weight increased — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My blood pressure is high. Not sure whether it is related with vaccination. Gaining Wright also.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-08
Dose 2 — Moderna
- 2021-04-08
- 2021-04-09
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-05-09
- 2021-05-13
- 2021-05-20
-
2021-07-12
Survey response — 3 months, dose 2MedDRA: Blood glucose increased, Dizziness, Tremor — Feeling: GoodFree text: I gained lot of weight and sometimes I feel dizzy or shake. Not sure if these things because of vaccination or for different reasons.Also, in initial weeks, my sugar levels were high and took few weeks for them to get back to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-07
-
2021-10-28
Dose 3 — Moderna
- 2021-10-29
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: FairFree text: Feeling slightly light headed.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-27
- 2021-12-02
-
2022-01-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-01-27
Survey response — 3 months, dose 3MedDRA: Blood urine present, Nephrolithiasis, Uveitis, Weight increased — Feeling: GoodFree text: Kidney stones and some blood in urine. Also occurred Uveitis. Taking treatment for both. In addition, gained lots of weight.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Dose 4 — Moderna
- 2022-09-24
- 2022-09-26
- 2022-09-29
- 2022-10-16
- 2022-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-09-22 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — day 14, dose 1
Symptoms: My blood pressure is high. Not sure whether it is related with vaccination. Gaining Wright also.
Release 9 — 3 months, dose 2
Symptoms: I gained lot of weight and sometimes I feel dizzy or shake. Not sure if these things because of vaccination or for different reasons.Also, in initial weeks, my sugar levels were high and took few weeks for them to get back to normal.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Feeling slightly light headed.
Release 11 — 3 months, dose 3
Symptoms: Kidney stones and some blood in urine. Also occurred Uveitis. Taking treatment for both. In addition, gained lots of weight.
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 glucose increased | ✓ | ✓ | ✓ |
| SD | Blood urine present | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SD | Uveitis | · | · | ✓ |
| SD | Weight increased | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release