E5Z-34998-38607
2 vaccinations
2 coded responses
23 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 974 / OR
- Registered
- 2022-07-09
- Relationship
- Child or adolescent in my care
- Guardian
- AT3-16747-75242
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-09
Registered in v-safe
-
2022-07-09
Dose 1 — Moderna
- 2022-07-09
-
2022-07-10
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-07-11
- 2022-07-13
- 2022-07-14
- 2022-07-15
- 2022-07-16
- 2022-07-23
- 2022-07-31
-
2022-08-06
Dose 2 — Moderna
-
2022-08-06
Health check-in — day 0, dose 2, dependentFeeling: Fair · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
-
2022-08-08
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-08-09
- 2022-08-10
- 2022-08-11
- 2022-08-12
- 2022-08-15
- 2022-08-20
- 2022-08-27
-
2022-09-03
Survey response — day 28, dose 2, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-09-11
- 2022-09-17
-
2022-11-05
Survey response — 3 months, dose 2, dependentMedDRA: Asthma — Feeling: GoodFree text: AsthmaMedDRA releases: 2024-11 · check-in free text available
- 2023-02-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-09 | Moderna | No |
| 2 | 2022-08-06 | Moderna | No |
Free text
Release 12 — day 28, dose 2, dependent
Symptoms: Runny nose
Release 12 — 3 months, dose 2, dependent
Symptoms: Asthma
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 | Asthma | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release