6DJ-29365-41472
2 vaccinations
7 coded responses
18 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 856 / AZ
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Dose 1 — Moderna
-
2020-12-30
Registered in v-safe
-
2020-12-30
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to workFree text: Lymph node swelling in armpit of injection site armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-30
- 2021-01-08
-
2021-01-13
Survey response — day 21, dose 1MedDRA: Blood pressure increased, Hypertension, Medical observation, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I developed sudden hypertension stage 2 on 1/10/21. Unknown if related, had not had high blood pressure before. Did go to PCP and am taking meds now. · Healthcare visit (other): Drs office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-13
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-20
-
2021-01-25
Dose 2 — Moderna
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased, Impaired work ability — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Day after vaccination left work after half day, BP was elevatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-02
- 2021-02-08
-
2021-02-15
Survey response — day 21, dose 2MedDRA: Hypertension — Feeling: GoodFree text: Nocturnal hypertensionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — day 28, dose 2MedDRA: Hypertension, Therapeutic product effect decreased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Blood pressure meds aren't working so well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
-
2021-03-02
Survey response — day 35, dose 2MedDRA: Blood pressure increased, Headache, Hypertensive crisis, Joint noise, Neck pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had another urgent hypertensive crisis 3/1/21 where I had severe pounding headache, bp was in the 160/100 to 180/120 for a few hours. PCP appt made for 3/3/21.Have also noticed crackles when turning neck. Sore neckFilled out the vaers, ecode (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-02
Call successfulParticipant prefers to complete VAERS report online
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2021-03-11
Survey response — day 42, dose 2MedDRA: Blood pressure increased, Headache, Medical counselling — Feeling: Fair · Be unable to workFree text: BP keeps spiking to 160/85 to 180/125 range. PCP upped meds. Severe pounding headaches occasionally. MRI brain scheduled.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-07-26
- 2021-09-20
- 2021-09-27
-
2021-09-30
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-25 | Moderna |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Lymph node swelling in armpit of injection site arm
Release 1 — day 21, dose 1
Symptoms: I developed sudden hypertension stage 2 on 1/10/21. Unknown if related, had not had high blood pressure before. Did go to PCP and am taking meds now.
Healthcare visit (other): Drs office visit
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Day after vaccination left work after half day, BP was elevated
Release 4 — day 21, dose 2
Symptoms: Nocturnal hypertension
Release 4 — day 28, dose 2
Symptoms: Blood pressure meds aren't working so well.
Release 4 — day 35, dose 2
Symptoms: Had another urgent hypertensive crisis 3/1/21 where I had severe pounding headache, bp was in the 160/100 to 180/120 for a few hours. PCP appt made for 3/3/21.Have also noticed crackles when turning neck. Sore neckFilled out the vaers, ecode (b)(6) cut off by CDC
redacted (b)(6)
Release 5 — day 42, dose 2
Symptoms: BP keeps spiking to 160/85 to 180/125 range. PCP upped meds. Severe pounding headaches occasionally. MRI brain scheduled.
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 |
|---|---|---|---|---|
| HCVO | Medical observation | ○ | ✓ | ○ |
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Hypertensive crisis | ✓ | ✓ | ✓ |
| SD | Joint noise | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Therapeutic product effect decreased | ✓ | · | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release