C6N-63689-36962
3 vaccinations
3 coded responses
25 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 956 / CA
- Registered
- 2022-06-21
- Relationship
- Child or adolescent in my care
- Guardian
- TR6-23917-07309
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-21
Registered in v-safe
-
2022-06-21
Dose 1 — Moderna
-
2022-06-21
Survey response — day 0, dose 1, dependentMedDRA: Decreased appetite — Feeling: Good · Site: PainFree text: Lack of appetiteMedDRA releases: 2024-11 · check-in free text available
-
2022-06-23
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Emotional disorder — Feeling: GoodFree text: EmotionalMedDRA releases: 2024-11 · check-in free text available
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-28
- 2022-07-05
- 2022-07-12
-
2022-07-21
Dose 2 — Moderna
- 2022-07-26
- 2022-07-30
- 2022-08-04
- 2022-08-20
- 2022-08-25
- 2022-09-07
-
2022-10-20
Survey response — 3 months, dose 2, dependentMedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolFree text: One non-COVID cold with runny nose and slight coughMedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Dose 3 — Moderna
-
2022-12-17
Health check-in — day 0, dose 3, dependentFeeling: Fair · Fever · Chills, Fatigue or tirednessAdult check-in
-
2022-12-18
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-12-19
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-12-24
- 2023-01-02
- 2023-01-07
- 2023-01-14
- 2023-01-23
- 2023-01-28
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-07-21 | Moderna | No |
| 3 | 2022-12-17 | Moderna | No |
Free text
Release 12 — day 0, dose 1, dependent
Systemic reaction (other): Lack of appetite
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Emotional
Release 12 — 3 months, dose 2, dependent
Symptoms: One non-COVID cold with runny nose and slight cough
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 | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Emotional disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release