7S5-18350-59839
2 vaccinations
1 coded response
21 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 216 / MD
- Registered
- 2022-06-26
- Relationship
- Child or adolescent in my care
- Guardian
- 2VN-14947-13381
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Dose 1 — Moderna
-
2022-06-26
Registered in v-safe
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-07-02
- 2022-07-07
- 2022-07-14
-
2022-07-21
Dose 2 — Moderna
- 2022-07-21
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-09-01
-
2022-10-20
Survey response — 3 months, dose 2, under 3MedDRA: Asthenia, Cough, Office visit, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Has had four viruses since her sister started preschool the first week of September. Symptoms include congestion, runny nose, fever, cough, and low energy. All Covid tests (her + all family members) have been negative. · Healthcare visit (other): In person visitMedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
Report sent to call center — 3 months, dose 2, under 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-20 | Unsuccessful |
Free text
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Has had four viruses since her sister started preschool the first week of September. Symptoms include congestion, runny nose, fever, cough, and low energy. All Covid tests (her + all family members) have been negative.
Healthcare visit (other): In person visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release