3EG-40130-82442
1 vaccination
1 coded response
9 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 957 / CA
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- QSP-25382-48854
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-29
Registered in v-safe
-
2022-06-29
Dose 1 — Moderna
- 2022-06-29
- 2022-07-01
- 2022-07-02
- 2022-07-04
- 2022-07-05
- 2022-07-06
- 2022-07-13
- 2022-07-21
-
2022-12-28
Survey response — 6 months, dose 1, dependentMedDRA: Ear infection, Illness — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Illness and ear infectionsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-29 | Moderna | No |
Free text
Release 12 — 6 months, dose 1, dependent
Symptoms: Illness and ear infections
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 | Ear infection | · | · | ✓ |
| SD | Illness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release