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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

  1. 2021-04-14
    Dose 1 — Moderna
  2. 2021-04-16
    Registered in v-safe
  3. 2021-04-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Hypotension — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Free 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
  4. 2021-04-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood pressure decreased — Feeling: Good · Site: Pain
    Free text: BP still low
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypertension — Feeling: Good · Fatigue or tiredness
    Free text: Blood pressure still low but higher
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood pressure abnormal — Feeling: Good
    Free text: Blood pressure is finally back to normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-14
    Dose 2 — Moderna
  12. 2021-05-14
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-14Moderna
22021-05-14Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-16

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.

2021-04-17

Systemic reaction (other): BP still low

2021-04-18

Systemic reaction (other): Blood pressure still low but higher

2021-04-19

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

FieldPreferred term2021-092023-042024-11
SROBlood pressure abnormal ✓ ✓ ✓
SROBlood pressure decreased ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHypertension ✓ ✓ ✓
SROHypotension ✓ ✓ ✓

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