6NR-26492-35894

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 712 / LA
Registered: 2021-01-21

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Emergency care, Hypotension — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Pressure dropped extremely low. EMT's were called. Went to hospital. Pressure had bn slightly up days prior

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Blood pressure was 100/72 @2:00pm. 3:00 pm 126/70.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-18
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-22
Dose 2 — Moderna
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased, Heart rate increased — Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Bp and heart rate has been elevated. Reported it to my healthcare provider. Will also discuss it with my cardiologist tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure decreased — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Blood pressure is too low. 92/71

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Fair · None

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Survey response — day 28, dose 2
MedDRA: Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Blood pressure still high. I have seen my cardiologist and family doctor · Healthcare visit (other): In office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-29
Survey response — day 35, dose 2
MedDRA: Chest discomfort, Emergency care, Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Went to er on the 26. Not sure it had anything to do with vaccine. Was having a little chest discomfort and BP was high. Did chest xray and ekg and labs. All were good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Survey response — day 42, dose 2
MedDRA: Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Sti having some issues with my blood pressure being high. Did contact my cardiologist and health care provider

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Call 1 — Requested Callback
2021-04-14
Call 2 — Requested Callback
2021-04-16
Call 3 — Requested Callback
2021-04-21
Call X — Left Voicemail
2021-05-24
Survey response — 3 months, dose 2
MedDRA: Blood pressure increased, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: BP is still being elevated · Healthcare visit (other): Cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Blood pressure decreased, Blood pressure fluctuation — Feeling: Poor · Be unable to do your normal daily activities

Free text: Bp has bn up and down. Lately too low

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-22
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-03-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-22	Moderna

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Pressure dropped extremely low. EMT's were called. Went to hospital. Pressure had bn slightly up days prior

2021-01-26

Systemic reaction (other): Blood pressure was 100/72 @2:00pm. 3:00 pm 126/70.

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Bp and heart rate has been elevated. Reported it to my healthcare provider. Will also discuss it with my cardiologist tomorrow

2021-02-26

Systemic reaction (other): Blood pressure is too low. 92/71

Release 6 — day 28, dose 2

2021-03-22

Symptoms: Blood pressure still high. I have seen my cardiologist and family doctor

Healthcare visit (other): In office visit

Release 6 — day 35, dose 2

2021-03-29

Symptoms: Went to er on the 26. Not sure it had anything to do with vaccine. Was having a little chest discomfort and BP was high. Did chest xray and ekg and labs. All were good.

Release 7 — day 42, dose 2

2021-04-07

Symptoms: Sti having some issues with my blood pressure being high. Did contact my cardiologist and health care provider

Release 8 — 3 months, dose 2

2021-05-24

Symptoms: BP is still being elevated

Healthcare visit (other): Cardiologist

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Bp has bn up and down. Lately too low

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	Office visit	✓	✓	✓
SD	Blood pressure decreased	✓	·	✓
SD	Blood pressure fluctuation	✓	·	✓
SD	Blood pressure increased	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Office visit	✓	✓	✓
SRO	Blood pressure decreased	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Hypotension	✓	✓	✓

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