2AT-11671-09713
1 vaccination
1 coded response
4 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 773 / TX
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- R9N-23452-47118
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Dose 1 — Moderna
-
2022-06-25
Registered in v-safe
- 2022-06-27
- 2022-06-28
- 2022-07-08
-
2022-07-12
Survey response — day 21, dose 1, dependentMedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-07-12
Report sent to call center — day 21, dose 1, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — day 21, dose 1, dependent
Symptoms: COVID
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 | COVID-19 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release