6WL-23056-34510
2 vaccinations
1 coded response
16 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
- 2021-01-27
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-04
Dose 2 — Moderna
-
2021-03-04
Survey response — day 0, dose 2MedDRA: Blood pressure decreased, Blood pressure increased, Dizziness, Headache, Tension headache — Feeling: Poor · Site: Pain, Swelling · Headache · Be unable to do your normal daily activitiesFree text: Light headedness, then headache and a tight band around the base of my head. Went to EMT for check, at the start of my symptoms my bp was 137/89 it went up to 155/100. My EKG and other V/S were good. I was there for an hour before I was released, with the bp slowly coming down. I came home ate, slept. At this time, I'm still having a headache but the tight band is gone. My bp is is still up a bit 134/96. I'm not not hypertensive, usually have low bp. I will be following up with my PCP for more evaluationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-03-06
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-12
- 2021-03-25
- 2021-04-03
- 2022-03-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): Light headedness, then headache and a tight band around the base of my head. Went to EMT for check, at the start of my symptoms my bp was 137/89 it went up to 155/100. My EKG and other V/S were good. I was there for an hour before I was released, with the bp slowly coming down. I came home ate, slept. At this time, I'm still having a headache but the tight band is gone. My bp is is still up a bit 134/96. I'm not not hypertensive, usually have low bp. I will be following up with my PCP for more evaluation
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 |
|---|---|---|---|---|
| SRO | Blood pressure decreased | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Tension headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release