B47-12630-10797
2 vaccinations
1 coded response
6 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 432 / OH
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- GGL-13390-41938
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Registered in v-safe
-
2022-06-23
Dose 1 — Moderna
- 2022-06-24
-
2022-06-25
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Food allergy, Lip swelling — Feeling: GoodFree text: Top Lip swelling in kate afternoon but could be an allergic reaction to a food that was just consumed.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-21
Dose 2 — Moderna
- 2022-07-21
- 2022-07-22
- 2022-07-23
- 2022-10-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
| 2 | 2022-07-21 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Top Lip swelling in kate afternoon but could be an allergic reaction to a food that was just consumed.
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 |
|---|---|---|---|---|
| SRO | Food allergy | · | · | ✓ |
| SRO | Lip swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release