3KF-17790-49656

1 vaccination 8 coded responses 14 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 980 / WA
Registered: 2021-04-02

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-01
Dose 1 — Moderna
2021-04-02
Registered in v-safe
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension, Office visit — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hypertension Spike 8 hours after shot. BP went up to 180/120. Saw doctor today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Nausea

Free text: Hypertension

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Continued Elevated Blood Pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Site: Itching

Free text: A high pitched noise in my ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 1
MedDRA: Hypertension — Feeling: Fair

Free text: Elevated blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 14, dose 1
MedDRA: Anxiety, Blood pressure increased, Diarrhoea, Fatigue, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Insomnia, Nausea, Office visit, Pain, Self-medication, Varicose vein — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Day 8-9 diarrhea, nausea, fatigue, swollen, red, itchy, hot bump at infection site.Continued elevated blood pressure, saw dr again and am attempting to treat with lebatalol. Insomnia. Body Pain. Bulging veins in hand. Anxiety re: 2nd dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-29
Survey response — day 28, dose 1
MedDRA: Blood pressure increased, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continuing elevated blood pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Survey response — day 35, dose 1
MedDRA: Blood pressure increased, Blood urine present, Urine analysis abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continued elevated (especially diastolic) BP since dose 1. Urinalysis shows blood in urine, no infection. Delaying dose 2 as I do not feel safe getting it yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-06-10
Call 1 — Left Voicemail
2021-07-01
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-04-02
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Hypertension Spike 8 hours after shot. BP went up to 180/120. Saw doctor today.

2021-04-03

Systemic reaction (other): Hypertension

2021-04-04

Systemic reaction (other): Continued Elevated Blood Pressure

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): A high pitched noise in my ear

Release 7 — day 7, dose 1

2021-04-08

Systemic reaction (other): Elevated blood pressure

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Day 8-9 diarrhea, nausea, fatigue, swollen, red, itchy, hot bump at infection site.Continued elevated blood pressure, saw dr again and am attempting to treat with lebatalol. Insomnia. Body Pain. Bulging veins in hand. Anxiety re: 2nd dose.

Release 8 — day 28, dose 1

2021-04-29

Symptoms: Continuing elevated blood pressure.

Release 8 — day 35, dose 1

2021-05-06

Symptoms: Continued elevated (especially diastolic) BP since dose 1. Urinalysis shows blood in urine, no infection. Delaying dose 2 as I do not feel safe getting it yet.

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	Anxiety	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Blood urine present	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Urine analysis abnormal	✓	✓	✓
SD	Varicose vein	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release