9QZ-10214-57817
2 vaccinations
3 coded responses
12 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 123 / NY
- Registered
- 2022-07-26
- Relationship
- Child or adolescent in my care
- Guardian
- T62-27489-33032
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-20
Dose 1 — Moderna
-
2022-07-26
Registered in v-safe
- 2022-07-26
- 2022-07-27
- 2022-08-03
- 2022-08-10
-
2022-08-17
Dose 2 — Moderna
-
2022-08-24
Survey response — day 7, dose 2, under 3MedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-08-31
Survey response — day 14, dose 2, under 3MedDRA: COVID-19, Cough, Pyrexia, Sneezing — Feeling: FairFree text: Cough, sneeze, fever, covid+MedDRA releases: 2024-11 · check-in free text available
- 2022-09-07
- 2022-09-16
- 2022-09-23
- 2022-09-28
- 2022-11-16
-
2023-02-15
Survey response — 6 months, dose 2, under 3MedDRA: Nasopharyngitis — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-20 | Moderna | No |
| 2 | 2022-08-17 | Moderna | No |
Free text
Release 12 (Under 3) — day 7, dose 2, under 3
Systemic reaction (other): Cough
Release 12 (Under 3) — day 14, dose 2, under 3
Symptoms: Cough, sneeze, fever, 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 | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release