8MR-18856-86979
1 vaccination
1 coded response
3 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 953 / CA
- Registered
- 2021-09-10
- Relationship
- Adult relative or friend
- Guardian
- CS3-71331-44957
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-09-09
Dose 1 — Moderna
-
2021-09-10
Registered in v-safe
-
2021-09-10
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Epistaxis — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Nose bleedMedDRA releases: 2024-11 · check-in free text available
-
2021-09-10
Report sent to call center — days 1–6 daily, dose 1, dependentGet care from a doctor or other healthcare professional1 call case(s)
- 2021-09-12
- 2021-09-13
- 2021-12-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-09 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Nose bleed
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 | Epistaxis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release