4YS-33623-20000

2 vaccinations 1 coded response 1 check-in 0 free-text entries 0 call cases

Sex: Female
Age at first dose: 0-4
ZIP prefix: 600 / IL
Registered: 2022-09-29

Relationship: Child or adolescent in my care
Guardian: TXF-47233-57891
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2022-06-30
Dose 1 — Moderna
2022-07-28
Dose 2 — Moderna
2022-09-29
Registered in v-safe
2023-01-26
Survey response — 6 months, dose 2, under 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-06-30	Moderna	No
2	2022-07-28	Moderna	No

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	COVID-19	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release