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V9M-18573-21757

2 vaccinations 1 coded response 5 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
190 / PA
Registered
2021-06-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-15
    Dose 1 — Moderna
  2. 2021-05-13
    Dose 2 — Moderna
  3. 2021-06-21
    Registered in v-safe
  4. 2021-06-21
    Survey response — day 35, dose 2
    MedDRA: Blood urine, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Day after 2nd dose had a 101 fever. After that no fever but I had light blood in urine for a week after.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-08-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-11-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  8. 2022-05-15
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-15Moderna No
22021-05-13Moderna No

Free text

Release 9 — day 35, dose 2

2021-06-21

Symptoms: Day after 2nd dose had a 101 fever. After that no fever but I had light blood in urine for a week after.

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 ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓

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