6HC-42577-67854
2 vaccinations
2 coded responses
10 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 403 / KY
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Moderna
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Blood pressure increased, Heart rate increased, Medical counselling — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: My BP shot up to 160/110 with a HR of 122. I drank loads of water and laid flat per my doctors instructions. it persisted for several hours before slowly declining. All has now returned to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
-
2021-02-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-02-24
- 2021-03-12
-
2021-03-17
Dose 2 — Moderna
- 2021-03-31
-
2021-09-15
Survey response — 6 months, dose 2MedDRA: Clavicle fracture, Fall, Heart rate increased, Heart rate irregular, Hypertension, Loss of consciousness — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: My BP was extremely high (170/110) and my HR was also in the low hundreds for roughly 24 hours following shot. It has been unstable since shooting up rapidly and then bottoming out. One drop resulted in a blackout, fall and fractured clavicle.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-15
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-20
- 2022-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): My BP shot up to 160/110 with a HR of 122. I drank loads of water and laid flat per my doctors instructions. it persisted for several hours before slowly declining. All has now returned to normal
Release 9 — 6 months, dose 2
Symptoms: My BP was extremely high (170/110) and my HR was also in the low hundreds for roughly 24 hours following shot. It has been unstable since shooting up rapidly and then bottoming out. One drop resulted in a blackout, fall and fractured clavicle.
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 | Clavicle fracture | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release