9FZ-30512-59824
3 vaccinations
7 coded responses
26 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 936 / CA
- Registered
- 2022-06-20
- Relationship
- Child or adolescent in my care
- Guardian
- 38Y-14009-08690
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-20
Registered in v-safe
-
2022-06-22
Dose 1 — Moderna
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
-
2022-07-06
Survey response — day 14, dose 1, under 3MedDRA: Injection site reaction, Rash erythematous, Rash pruritic — Feeling: GoodFree text: Red itchy bump at injection site 6/30-7/1MedDRA releases: 2024-11 · check-in free text available
-
2022-07-13
Survey response — day 21, dose 1, under 3MedDRA: Decreased appetite, Piloerection, Pyrexia, Skin warm, Tremor — Feeling: Poor · Be unable to do your normal daily activitiesFree text: 7/12 wouldn't eat dinner. 7/13 Bad fever, shaking with goose bumps but hot to the touchMedDRA releases: 2024-11 · check-in free text available
-
2022-07-20
Dose 2 — Moderna
- 2022-07-20
-
2022-07-21
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Swelling/hardness · NoneUnder 3 check-in
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
-
2022-08-05
Survey response — day 14, dose 2, under 3MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Runny nose, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-08-12
-
2022-08-17
Survey response — day 28, dose 2, under 3MedDRA: Cough, Injection site erythema, Injection site pruritus, Injection site swelling, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Red, itchy bump at injection site. Runny nose, coughing, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-08-24
Survey response — day 35, dose 2, under 3MedDRA: Pyrexia, Respiratory tract congestion, Rhinorrhoea, Urticaria — Feeling: Poor · 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: Slight fever, runny nose, congestion, hivesMedDRA releases: 2024-11 · check-in free text available
-
2022-08-24
Report sent to call center — day 35, dose 2, under 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-25
-
2022-09-02
Survey response — day 42, dose 2, under 3MedDRA: Rash, Urticaria — Feeling: FairFree text: Rash/hives all over bodyMedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Survey response — 3 months, dose 2, under 3MedDRA: Pyrexia, Rash, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Runny nose, sneezing, fever, broke out in rashes two nights.MedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Report sent to call center — 3 months, dose 2, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-24
- 2022-10-24
- 2023-01-22
-
2023-02-06
Dose 3 — Moderna
- 2023-03-23
- 2023-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
| 3 | 2023-02-06 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Red itchy bump at injection site 6/30-7/1
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: 7/12 wouldn't eat dinner. 7/13 Bad fever, shaking with goose bumps but hot to the touch
Release 12 (Under 3) — day 14, dose 2, under 3
Symptoms: Runny nose, congestion
Release 12 (Under 3) — day 28, dose 2, under 3
Symptoms: Red, itchy bump at injection site. Runny nose, coughing, congestion
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: Slight fever, runny nose, congestion, hives
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Rash/hives all over body
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Runny nose, sneezing, fever, broke out in rashes two nights.
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 | Decreased appetite | · | · | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Piloerection | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash erythematous | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Skin warm | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release