S8D-26289-06843
2 vaccinations
2 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 170 / PA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
- 2021-01-14
- 2021-01-19
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Blood urine present — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Blood in urineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Blood urine present, Haematuria — Feeling: Fair · HeadacheFree text: Blood in urineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
- 2021-04-30
-
2021-04-30
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Blood in urine
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Blood urine present | ✓ | ✓ | ✓ |
| SRO | Haematuria | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release