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BHH-23518-94161

1 vaccination 1 coded response 4 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
730 / OK
Registered
2021-08-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-14
    Dose 1 — Moderna
  2. 2021-08-21
    Registered in v-safe
  3. 2021-08-21
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2021-08-28
    Survey response — day 14, dose 1
    MedDRA: Blood urine present — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Blood in urine
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-28
    Report sent to call center — day 14, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  6. 2021-08-31
  7. 2021-09-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-11-15
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-08-14Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 14, dose 1

2021-08-28

Symptoms: Blood in urine

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
SDBlood urine present ✓ · ✓

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