95H-19092-09420
3 vaccinations
4 coded responses
37 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 060 / CT
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- HFY-13842-84130
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Registered in v-safe
-
2022-06-25
Dose 1 — Moderna
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-09
- 2022-07-16
-
2022-07-23
Dose 2 — Moderna
- 2022-07-23
-
2022-07-23
Health check-in — day 0, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-07-30
-
2022-08-06
Survey response — day 14, dose 2, dependentMedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Contracted covid. Tested positive 7/31, symptomaticMedDRA releases: 2024-11 · check-in free text available
- 2022-08-13
-
2022-08-20
Survey response — day 28, dose 2, dependentMedDRA: Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Vomiting for about 8 hoursMedDRA releases: 2024-11 · check-in free text available
- 2022-08-27
- 2022-09-03
-
2022-10-22
Survey response — 3 months, dose 2, dependentMedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: CovidMedDRA releases: 2024-11 · check-in free text available
-
2023-01-17
Dose 3 — Moderna
-
2023-01-18
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2023-01-19
- 2023-01-20
- 2023-01-22
- 2023-01-23
- 2023-01-24
- 2023-01-31
- 2023-02-07
- 2023-02-14
-
2023-02-21
Survey response — day 35, dose 3, dependentMedDRA: Diarrhoea, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-02-28
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
| 2 | 2022-07-23 | Moderna | No |
| 3 | 2023-01-17 | Moderna | No |
Free text
Release 12 — day 14, dose 2, dependent
Symptoms: Contracted covid. Tested positive 7/31, symptomatic
Release 12 — day 28, dose 2, dependent
Symptoms: Vomiting for about 8 hours
Release 12 — 3 months, dose 2, dependent
Symptoms: 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 | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release