B4P-21763-58648
1 vaccination
1 coded response
9 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 480 / MI
- Registered
- 2022-12-29
- Relationship
- Child or adolescent in my care
- Guardian
- JEV-84044-22368
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-12-28
Dose 1 — ModernaCo-administered: Flu
-
2022-12-29
Registered in v-safe
-
2022-12-30
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-12-31
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2023-01-03
- 2023-01-04
-
2023-01-12
Survey response — day 14, dose 1, under 3MedDRA: Emotional disorder, Irritability, Pyrexia, Rhinorrhoea — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-12
Report sent to call center — day 14, dose 1, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-12
- 2023-01-18
- 2023-01-25
- 2023-02-01
- 2023-06-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-12-28 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
None.
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 | Emotional disorder | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release