4T2-29628-09671
1 vaccination
5 coded responses
11 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 544 / WI
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- 4YC-13301-87689
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Dose 1 — Moderna
-
2022-06-28
Registered in v-safe
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2022-06-28
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Injection site pain — Feeling: GoodFree text: She's saying her injection site is sore and hasn't let me change her dress for 3 days, but is otherwise her joyful, active, good-humored self! Thank you for approving vaccine for our kidlets!!MedDRA releases: 2024-11 · check-in free text available
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2022-06-29
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Unevaluable event — Feeling: GoodFree text: Left deltoid no tender, no swellingMedDRA releases: 2024-11 · check-in free text available
- 2022-06-30
- 2022-07-01
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2022-07-02
Survey response — day 7, dose 1, dependentMedDRA: Irritability — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Irritable, won't let me take her temperatureMedDRA releases: 2024-11 · check-in free text available
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2022-07-09
Survey response — day 14, dose 1, dependentMedDRA: Pyrexia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesFree text: She developed PCR confirmed Covid just over a week ago. Initially thought her fever was vaccine related. PCR test done 7/7MedDRA releases: 2024-11 · check-in free text available
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2022-07-16
Survey response — day 21, dose 1, dependentMedDRA: COVID-19 — Feeling: GoodFree text: Recovered from bout of Covid in early JulyMedDRA releases: 2024-11 · check-in free text available
- 2022-07-23
- 2022-09-24
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2022-12-24
Health check-in — 6 months, dose 1, dependentFeeling: Good · Be unable to work or attend schoolFree text: 5 day respiratory infection starting 12/8. Self-limited, Covid testing x2 negativeAdult check-in · check-in free text available
- 2023-06-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): She's saying her injection site is sore and hasn't let me change her dress for 3 days, but is otherwise her joyful, active, good-humored self! Thank you for approving vaccine for our kidlets!!
Systemic reaction (other): Left deltoid no tender, no swelling
Release 12 — day 7, dose 1, dependent
Systemic reaction (other): Irritable, won't let me take her temperature
Release 12 — day 14, dose 1, dependent
Symptoms: She developed PCR confirmed Covid just over a week ago. Initially thought her fever was vaccine related. PCR test done 7/7
Release 12 — day 21, dose 1, dependent
Symptoms: Recovered from bout of Covid in early July
Release 12 — 6 months, dose 1, dependent
Symptoms: 5 day respiratory infection starting 12/8. Self-limited, Covid testing x2 negative
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 | COVID-19 | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release