C5L-22102-96779
2 vaccinations
5 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 787 / TX
- Registered
- 2022-06-26
- Relationship
- Child or adolescent in my care
- Guardian
- HR6-31469-32055
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-26
Registered in v-safe
-
2022-10-11
Dose 1 — ModernaCo-administered: Flu:Other:Rotavirus
-
2022-10-11
Health check-in — day 0, dose 1, under 3Feeling: Poor · Site: Pain · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
-
2022-10-25
Survey response — day 14, dose 1, under 3MedDRA: Diarrhoea, Nasal congestion, Vomiting — Feeling: FairFree text: Vomiting, diarrhea, nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
-
2022-11-08
Survey response — day 28, dose 1, under 3MedDRA: Cough, Diarrhoea, Rhinorrhoea, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Vomiting, diarrhea, runny nose, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-11-15
-
2022-11-22
Survey response — day 42, dose 1, under 3MedDRA: Diarrhoea, Nasal congestion, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fever as high as 103.4 deg F, nasal congestion, diarrheaMedDRA releases: 2024-11 · check-in free text available
-
2022-12-08
Dose 2 — ModernaCo-administered: Flu
- 2022-12-09
- 2022-12-11
- 2022-12-12
- 2022-12-13
- 2022-12-14
- 2022-12-15
- 2022-12-22
-
2022-12-29
Survey response — day 21, dose 2, under 3MedDRA: Cough, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fever, cough, runny noseMedDRA releases: 2024-11 · check-in free text available
- 2023-01-05
- 2023-01-12
- 2023-01-19
- 2023-03-09
-
2023-06-08
Survey response — 6 months, dose 2, under 3MedDRA: Dacryostenosis acquired, Gastroenteritis viral, Streptococcal infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-06-08
Call case (no matching report) — SuccessfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-06-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-11 | Moderna | Flu:Other:Rotavirus |
| 2 | 2022-12-08 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Vomiting, diarrhea, nasal congestion
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Vomiting, diarrhea, runny nose, cough
Release 12 (Under 3) — day 42, dose 1, under 3
Symptoms: Fever as high as 103.4 deg F, nasal congestion, diarrhea
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Fever, cough, runny nose
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 | Dacryostenosis acquired | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Streptococcal infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release