2EY-29857-56450
1 vaccination
1 coded response
5 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 774 / TX
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- TKM-56908-82527
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-06-25
Registered in v-safe
-
2022-06-27
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Sleepiness, DiarrheaUnder 3 check-in
-
2022-07-01
Health check-in — day 7, dose 1, under 3Feeling: Good · Rash, not including the immediate area around the injection siteUnder 3 check-in
- 2022-07-08
- 2022-09-25
-
2023-06-26
Survey response — 12 months, dose 1, under 3MedDRA: Bronchiolitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
Free text
None.
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 | Bronchiolitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release