T85-34474-05023
4 vaccinations
1 coded response
45 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 601 / IL
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
WYL-14763-85664
Child or adolescent in my care · Female · 2022-11-22
Timeline
-
2021-04-17
Registered in v-safe
-
2021-04-17
Dose 1 — Moderna
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-05-01
- 2021-05-08
-
2021-05-15
Dose 2 — Moderna
- 2021-05-15
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Chills, Joint pains, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-21
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-12
-
2021-06-19
Survey response — day 35, dose 2MedDRA: Haematuria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hematuria, unspecified typeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-19
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-26
- 2021-06-28
- 2021-08-14
- 2021-11-13
-
2021-12-10
Dose 3 — Moderna
- 2021-12-10
-
2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tirednessAdult check-in
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-01-21
- 2022-03-11
- 2022-06-10
-
2022-09-20
Dose 4 — Moderna
- 2022-10-14
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-12-20
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Moderna | |
| 2 | 2021-05-15 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
| 4 | 2022-09-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 35, dose 2
Symptoms: Hematuria, unspecified type
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 |
|---|---|---|---|---|
| SD | Haematuria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release