484-81410-05204
2 vaccinations
4 coded responses
12 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 070 / NJ
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Dose 1 — Moderna
-
2021-04-16
Registered in v-safe
-
2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Hypotension — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The day after I received my second shot of Moderna, I became EXTREMELY TIRED. I barely made it home, showered and changed from work before I went to bed to sleep it off. I struggled to get up from bed to take my blood pressure and found out that my BP was unusually low (89/63 was the lowest). I skipped my HBP medication and thank God I did. I skipped my dosage for that day. The next morning (4/16/21) I felt better and BP returned to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Blood pressure decreased — Feeling: Good · Site: PainFree text: BP still lowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — days 1–6 daily, dose 1MedDRA: Hypertension — Feeling: Good · Fatigue or tirednessFree text: Blood pressure still low but higherMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Blood pressure abnormal — Feeling: GoodFree text: Blood pressure is finally back to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
-
2021-05-14
Dose 2 — Moderna
- 2021-05-14
- 2021-05-17
- 2021-05-23
- 2021-05-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-14 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): The day after I received my second shot of Moderna, I became EXTREMELY TIRED. I barely made it home, showered and changed from work before I went to bed to sleep it off. I struggled to get up from bed to take my blood pressure and found out that my BP was unusually low (89/63 was the lowest). I skipped my HBP medication and thank God I did. I skipped my dosage for that day. The next morning (4/16/21) I felt better and BP returned to normal.
Systemic reaction (other): BP still low
Systemic reaction (other): Blood pressure still low but higher
Systemic reaction (other): Blood pressure is finally back to normal.
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 | Blood pressure decreased | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Hypotension | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release