4QZ-21045-61963
2 vaccinations
1 coded response
21 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 200 / DC
- Registered
- 2022-07-24
- Relationship
- Child or adolescent in my care
- Guardian
- 6AD-32156-28641
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-22
Dose 1 — Moderna
-
2022-07-24
Registered in v-safe
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-28
- 2022-07-29
- 2022-08-05
- 2022-08-12
-
2022-08-19
Dose 2 — Moderna
- 2022-08-19
-
2022-08-20
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Redness, Swelling/hardness · NoneUnder 3 check-in
-
2022-08-21
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Swelling/hardness · NoneUnder 3 check-in
-
2022-08-22
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Swelling/hardness · NoneUnder 3 check-in
- 2022-08-23
- 2022-08-24
- 2022-08-26
- 2022-09-02
- 2022-09-09
- 2022-09-16
- 2022-09-23
- 2022-09-30
- 2022-11-19
-
2023-02-20
Survey response — 6 months, dose 2, under 3MedDRA: Influenza, Respiratory syncytial virus infection — 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
-
2023-02-20
Report sent to call center — 6 months, dose 2, under 3Be 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)
- 2023-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-22 | Moderna | No |
| 2 | 2022-08-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-02-20 | Unsuccessful |
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 | Influenza | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release