ALJ-36841-05383
2 vaccinations
2 coded responses
16 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 282 / NC
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- C62-30915-43494
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Dose 1 — Moderna
-
2022-06-28
Registered in v-safe
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-07
- 2022-07-14
-
2022-07-21
Survey response — day 28, dose 1, under 3MedDRA: Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: PoorFree text: She has a cold we think she got from her first day at preschool. We did a COVID test at home and it was negative. She had a runny nose and is sneezing, no other symptoms.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-28
-
2022-07-29
Dose 2 — Moderna
- 2022-08-04
- 2022-08-05
- 2022-08-12
- 2022-08-21
- 2022-08-26
- 2022-09-02
- 2022-09-09
-
2022-10-28
Survey response — 3 months, dose 2, under 3MedDRA: Cough, Croup infectious, Ear infection, Nasal congestion, Viral infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Stuffy nose, cough. Croup and ear infection diagnosed 3 weeks ago. Likely caught another virus from daycare recentlyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
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 professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-01
- 2023-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-28 | Unsuccessful |
Free text
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: She has a cold we think she got from her first day at preschool. We did a COVID test at home and it was negative. She had a runny nose and is sneezing, no other symptoms.
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Stuffy nose, cough. Croup and ear infection diagnosed 3 weeks ago. Likely caught another virus from daycare recently
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 | Croup infectious | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release