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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

  1. 2021-02-17
    Registered in v-safe
  2. 2021-02-17
    Dose 1 — Moderna
  3. 2021-02-17
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free 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 normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-02-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-17
    Dose 2 — Moderna
  11. 2021-03-31
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-09-15
    Survey response — 6 months, dose 2
    MedDRA: 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 visit
    Free 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
  13. 2021-09-15
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  14. 2021-09-20
  15. 2022-03-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-17Moderna
22021-03-17Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

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

2021-09-15

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

FieldPreferred term2021-092023-042024-11
SDClavicle fracture · · ✓
SDFall · · ✓
SDHeart rate increased · · ✓
SDHeart rate irregular · · ✓
SDHypertension · · ✓
SDLoss of consciousness · · ✓
SROBlood pressure increased ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROMedical counselling ✓ ✓ ✓

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