3SU-14161-99185
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 223 / VA
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- TH6-19012-13790
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Dose 1 — Moderna
-
2022-06-24
Registered in v-safe
-
2022-06-24
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Epistaxis — Feeling: Good · Fatigue or tirednessFree text: Nose bleedsMedDRA releases: 2024-11 · check-in free text available
- 2022-06-28
-
2022-07-01
Survey response — day 7, dose 1, dependentMedDRA: Cough — Feeling: PoorFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-07-06
- 2022-07-14
-
2022-07-20
Dose 2 — Moderna
- 2022-07-23
-
2022-07-24
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Redness · DiarrheaAdult check-in
-
2022-07-25
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Redness · NoneAdult check-in
- 2022-07-26
- 2022-07-27
- 2022-08-03
- 2022-08-10
- 2022-08-17
- 2022-08-24
-
2022-09-02
Survey response — day 42, dose 2, dependentMedDRA: Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: She has a coldMedDRA releases: 2024-11 · check-in free text available
-
2022-09-02
Report sent to call center — day 42, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-09-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-21
- 2023-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Nose bleeds
Release 12 — day 7, dose 1, dependent
Systemic reaction (other): Cough
Release 12 — day 42, dose 2, dependent
Symptoms: She has a cold
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 | Nasopharyngitis | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Epistaxis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release