3HA-31482-99827
2 vaccinations
3 coded responses
24 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 211 / MD
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- B4F-72061-23035
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-28
Registered in v-safe
-
2022-07-02
Dose 1 — Moderna
- 2022-07-04
- 2022-07-05
- 2022-07-06
- 2022-07-07
- 2022-07-08
- 2022-07-09
- 2022-07-16
- 2022-07-23
- 2022-07-30
-
2022-08-06
Dose 2 — Moderna
- 2022-08-06
- 2022-08-07
-
2022-08-08
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Frequent bowel movements, Injection site erythema, Injection site haemorrhage — Feeling: GoodFree text: 4 bowel movements but don't know if related. Not totally uncommon. Injection site has ~1 mm red spot but doesn't appear radiating. A little dried blood in injection point. No other symptoms. Eating and sleeping normal. No fever or rashes.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-09
- 2022-08-10
- 2022-08-11
- 2022-08-12
- 2022-08-13
-
2022-08-20
Survey response — day 14, dose 2, under 3MedDRA: Medical counselling, Swelling — Feeling: GoodFree text: Unknown if related but spoke with pediatric nurse about bump on occipital bone of head. Bump was about quarter round and raised. Nurse suggested waiting couple days and bump has gone down. Suggested it may be swollen lymph node. No other symptoms.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-29
- 2022-09-03
- 2022-09-12
- 2022-09-17
- 2022-11-05
-
2023-02-04
Survey response — 6 months, dose 2, under 3MedDRA: COVID-19, Cough, Pyrexia, Rhinorrhoea — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-02 | Moderna | No |
| 2 | 2022-08-06 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): 4 bowel movements but don't know if related. Not totally uncommon. Injection site has ~1 mm red spot but doesn't appear radiating. A little dried blood in injection point. No other symptoms. Eating and sleeping normal. No fever or rashes.
Release 12 (Under 3) — day 14, dose 2, under 3
Symptoms: Unknown if related but spoke with pediatric nurse about bump on occipital bone of head. Bump was about quarter round and raised. Nurse suggested waiting couple days and bump has gone down. Suggested it may be swollen lymph node. No other symptoms.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SRO | Frequent bowel movements | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site haemorrhage | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release