She is also missing work; Has not gotten the second dose; still fighting a fever; experienced high blood pressure/ blood pressure is real super; really sick for two weeks after the COVID vaccine; This spontaneous case was reported by a patient family member or friend and describes the occurrence of HYPERTENSION (experienced high blood pressure/ blood pressure is real super), ILLNESS (really sick for two weeks after the COVID vaccine), IMPAIRED WORK ABILITY (She is also missing work), PYREXIA (still fighting a fever) and PRODUCT ADMINISTRATION INTERRUPTED (Has not gotten the second dose) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 prophylaxis.     The patient's past medical history included Pneumonia, Headache and Congestion nasal.    On 22-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Jul-2021, the patient experienced HYPERTENSION (experienced high blood pressure/ blood pressure is real super), ILLNESS (really sick for two weeks after the COVID vaccine) and PYREXIA (still fighting a fever). On an unknown date, the patient experienced IMPAIRED WORK ABILITY (She is also missing work) and PRODUCT ADMINISTRATION INTERRUPTED (Has not gotten the second dose). The patient was treated with LISINOPRIL for Blood pressure high, at a dose of 10 milligram once a day and LISINOPRIL for Blood pressure high, at a dose of 20 milligram once a day. At the time of the report, HYPERTENSION (experienced high blood pressure/ blood pressure is real super), ILLNESS (really sick for two weeks after the COVID vaccine) and PYREXIA (still fighting a fever) had not resolved and IMPAIRED WORK ABILITY (She is also missing work) and PRODUCT ADMINISTRATION INTERRUPTED (Has not gotten the second dose) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 24-Aug-2021, Body temperature: 99.5. On an unknown date, Blood pressure measurement: 147/109. On an unknown date, SARS-CoV-2 test: (Positive) Positive.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.       This case was identified as part of a retrospective clean-up activity where certain emails received in the Moderna mailbox were missed to be booked-in.  The patient had the antibodies because COVID back in Jan-2021 and got over it.  It was reported that never had blood pressure issues before COVID vaccine. States the antibodies the body makes were safer than the COVID vaccine. Patient's immune system was normal. Patient caught COVID and it stayed a little longer. Did not have blood pressure issues when had COVID. Patient got more sicker with the COVID vaccine than when had COVID. The patient was still fighting with her blood pressure. Sick for two weeks after the vaccine.  Patient works in a nursing home and that was the reason for getting the vaccine. After this patient was not going to get the second dose. Patient was sick with COVID virus from 19-Jan-2021 to the middle of Feb-2021 when she started testing negative. Was about a month. Caller stated patient didn't have any symptoms, but patient was still testing positive.