8EJ-11428-90989
2 vaccinations
6 coded responses
22 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 201 / VA
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- VED-22416-38700
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Registered in v-safe
-
2022-07-19
Dose 1 — Moderna
-
2022-07-19
Health check-in — day 0, dose 1, under 3Feeling: Fair · Site: Pain · Fever · Irritability/cryingUnder 3 check-in
- 2022-07-21
-
2022-07-22
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Rash, not including the immediate area around the injection siteUnder 3 check-in
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2022-07-23
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash is not itchyMedDRA releases: 2024-11 · check-in free text available
- 2022-07-24
- 2022-07-25
- 2022-07-26
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2022-08-02
Survey response — day 14, dose 1, under 3MedDRA: Cough, Eye discharge, Fatigue, Irritability, Nasopharyngitis, Pyrexia, Rhinorrhoea — Feeling: PoorFree text: Seems to have a cold, green eye discharge, runny nose, cough, occasional fever. Likely unrelated to vaccine. Much more tired and irritable.MedDRA releases: 2024-11 · check-in free text available
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2022-08-09
Survey response — day 21, dose 1, under 3MedDRA: Cough, Eye discharge, Nasal discharge discolouration, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Green discharge from eyes and nose and slight cough for 5 days, fever one night.MedDRA releases: 2024-11 · check-in free text available
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2022-08-16
Dose 2 — Moderna
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2022-08-16
Health check-in — day 0, dose 2, under 3Feeling: Fair · Site: Pain · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-08-18
- 2022-08-19
- 2022-08-20
- 2022-08-21
- 2022-08-22
- 2022-08-23
- 2022-08-30
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2022-09-06
Survey response — day 21, dose 2, under 3MedDRA: Irritability, Nasopharyngitis, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Fever, cold, irritable. Got a cold from grandparents, grandparents negative for covid.MedDRA releases: 2024-11 · check-in free text available
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2022-09-20
Survey response — day 35, dose 2, under 3MedDRA: Lethargy, Medical counselling, Pain, Pyrexia, Self-medication — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had a high fever (103/104+) for 3 days. Aches and lethargy when fever was up (when meds wore off) but mostly normal when on Motrin + Tylenol. Spoke to nurse's line but did not have to go to the doctor. It was not Covid.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-27
- 2022-11-15
-
2023-02-14
Survey response — 6 months, dose 2, under 3MedDRA: Cough, Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-19 | Moderna | No |
| 2 | 2022-08-16 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Rash is not itchy
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Seems to have a cold, green eye discharge, runny nose, cough, occasional fever. Likely unrelated to vaccine. Much more tired and irritable.
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Green discharge from eyes and nose and slight cough for 5 days, fever one night.
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Fever, cold, irritable. Got a cold from grandparents, grandparents negative for covid.
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: Had a high fever (103/104+) for 3 days. Aches and lethargy when fever was up (when meds wore off) but mostly normal when on Motrin + Tylenol. Spoke to nurse's line but did not have to go to the doctor. It was not Covid.
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 | Eye discharge | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Nasal discharge discolouration | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release