5S3-13552-65070
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 780 / TX
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- 58S-28917-66670
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-06-29
Registered in v-safe
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-08
- 2022-07-15
-
2022-07-22
Survey response — day 28, dose 1, under 3MedDRA: Loss of personal independence in daily activities, Productive cough, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Congestion and wet cough. We think it's because of the the Saharan Dust. Missed one day of daycare (yesterday).MedDRA releases: 2024-11 · check-in free text available
-
2022-07-27
Dose 2 — Moderna
-
2022-08-05
Survey response — day 7, dose 2, under 3MedDRA: Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: Had a fever several days this week.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-10
- 2022-08-17
- 2022-08-24
- 2022-08-31
-
2022-09-09
Survey response — day 42, dose 2, under 3MedDRA: Ear infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-09-09
Report sent to call center — day 42, dose 2, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-12
- 2022-10-26
- 2023-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Congestion and wet cough. We think it's because of the the Saharan Dust. Missed one day of daycare (yesterday).
Release 12 (Under 3) — day 7, dose 2, under 3
Systemic reaction (other): Had a fever several days this week.
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Ear infection
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 | Ear infection | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release