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B9Z-15249-74025

1 vaccination 1 coded response 1 check-in 1 free-text entry 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
787 / TX
Registered
2021-04-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-19
    Dose 1 — Moderna
  2. 2021-04-24
    Registered in v-safe
  3. 2021-04-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Haemorrhage, Office visit — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Bleeding · Healthcare visit (other): OBGYN
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-24
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-06-03

Vaccinations

DoseDateManufacturerCo-administered
12021-04-19Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): Bleeding
Healthcare visit (other): OBGYN

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
HCVOOffice visit ✓ ✓ ✓
SROHaemorrhage ✓ ✓ ✓

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