6SK-17295-07208
3 vaccinations
8 coded responses
35 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 660 / KS
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- NPE-16463-12734
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Registered in v-safe
-
2022-06-23
Dose 1 — Moderna
- 2022-06-23
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
-
2022-06-29
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-07-01
-
2022-07-08
Survey response — day 14, dose 1, dependentMedDRA: Abdominal pain upper, Nasal congestion, Productive cough, Respiratory tract congestion — Feeling: FairFree text: Nasal and chest congestion. Productive cough. Occasionally stomach pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-14
Survey response — day 21, dose 1, dependentMedDRA: Nasal congestion, Productive cough, Rhinorrhoea — Feeling: FairFree text: Worsening productive cough, runny and congested nose.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-21
Dose 2 — Moderna
- 2022-07-21
-
2022-07-22
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Swelling · NoneAdult check-in
-
2022-07-23
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Decreased appetite — Feeling: Good · Fatigue or tirednessFree text: Decreased appetite, but she doesn't complain of any particular stomach troublesMedDRA releases: 2024-11 · check-in free text available
- 2022-07-24
- 2022-07-25
-
2022-07-26
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fever · Headache, Abdominal painAdult check-in
-
2022-07-27
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Abdominal rigidity, Decreased appetite — Feeling: GoodFree text: Reports no symptoms, but had no appetite for dinner and was guarding her stomachMedDRA releases: 2024-11 · check-in free text available
-
2022-07-30
Survey response — day 7, dose 2, dependentMedDRA: Decreased appetite — Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Her appetite continues to be quite decreased- she is skipping entire mealsMedDRA releases: 2024-11 · check-in free text available
-
2022-07-30
Report sent to call center — day 7, dose 2, dependentGet care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-08-01
- 2022-08-04
- 2022-08-11
-
2022-08-20
Survey response — day 28, dose 2, dependentMedDRA: Fatigue, Nasopharyngitis — Feeling: GoodFree text: She's had a cough the last couple of days and been very tiredMedDRA releases: 2024-11 · check-in free text available
- 2022-08-25
- 2022-09-02
-
2022-10-20
Survey response — 3 months, dose 2, dependentMedDRA: Nausea — Feeling: GoodFree text: NauseaMedDRA releases: 2024-11 · check-in free text available
-
2022-11-14
Dose 3 — Pfizer-BioNTech
-
2022-11-17
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-11-18
- 2022-11-19
- 2022-11-20
- 2022-11-21
- 2022-11-28
- 2022-12-05
- 2022-12-14
- 2022-12-19
- 2022-12-26
-
2023-02-14
Survey response — 3 months, dose 3, dependentMedDRA: Abdominal pain upper, Flatulence — Feeling: GoodMedDRA releases: 2024-11
- 2023-05-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-21 | Moderna | No |
| 3 | 2022-11-14 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — day 14, dose 1, dependent
Symptoms: Nasal and chest congestion. Productive cough. Occasionally stomach pain.
Release 12 — day 21, dose 1, dependent
Symptoms: Worsening productive cough, runny and congested nose.
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Decreased appetite, but she doesn't complain of any particular stomach troubles
Systemic reaction (other): Reports no symptoms, but had no appetite for dinner and was guarding her stomach
Release 12 — day 7, dose 2, dependent
Systemic reaction (other): Her appetite continues to be quite decreased- she is skipping entire meals
Release 12 — day 28, dose 2, dependent
Symptoms: She's had a cough the last couple of days and been very tired
Release 12 — 3 months, dose 2, dependent
Symptoms: Nausea
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 | Abdominal pain upper | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Flatulence | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Abdominal rigidity | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release