5YF-18764-10582
2 vaccinations
6 coded responses
12 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 762 / TX
- Registered
- 2022-08-26
- Relationship
- Child or adolescent in my care
- Guardian
- 6DG-16427-51864
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-25
Dose 1 — Moderna
-
2022-08-26
Registered in v-safe
- 2022-08-29
- 2022-08-30
-
2022-09-01
Survey response — day 7, dose 1, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-09-10
-
2022-09-22
Dose 2 — Moderna
-
2022-09-25
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Fatigue, Pyrexia, Vomiting — Feeling: Fair · Fatigue or tiredness, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, fatigue, and vomiting the day after her vaccine. Fatigue on day 1, all clear by day 3.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-27
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-09-28
-
2022-10-07
Survey response — day 14, dose 2, dependentMedDRA: Cough, Fatigue, Pyrexia, Rhinorrhoea, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, runny nose, fatigue, fever and vomiting tone dayMedDRA releases: 2024-11 · check-in free text available
-
2022-10-13
Survey response — day 21, dose 2, dependentMedDRA: Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-10-22
Survey response — day 28, dose 2, dependentMedDRA: Cough, Nasal congestion, Wheezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough for approx 2-3 weeks, nasal congestion, wheezingMedDRA releases: 2024-11 · check-in free text available
-
2022-10-27
Survey response — day 35, dose 2, dependentMedDRA: Ear infection, Pyrexia, Respiratory tract congestion, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Noticed vomiting approx every 2 wks. Fever & vomiting 9/23 (prob just usual side effects) Vomited 1X 10/10 Congestion late Sep-early Oct Ear infection diagnosed 10/23 Vomited 1X 10/27MedDRA releases: 2024-11 · check-in free text available
-
2022-10-27
Report sent to call center — day 35, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-28
- 2022-11-04
-
2022-11-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-25 | Moderna | No |
| 2 | 2022-09-22 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — day 7, dose 1, dependent
Systemic reaction (other): Runny nose
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Fever, fatigue, and vomiting the day after her vaccine. Fatigue on day 1, all clear by day 3.
Release 12 — day 14, dose 2, dependent
Symptoms: Cough, runny nose, fatigue, fever and vomiting tone day
Release 12 — day 21, dose 2, dependent
Symptoms: Sore throat
Release 12 — day 28, dose 2, dependent
Symptoms: Cough for approx 2-3 weeks, nasal congestion, wheezing
Release 12 — day 35, dose 2, dependent
Symptoms: Noticed vomiting approx every 2 wks. Fever & vomiting 9/23 (prob just usual side effects) Vomited 1X 10/10 Congestion late Sep-early Oct Ear infection diagnosed 10/23 Vomited 1X 10/27
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 | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release