E89-28454-50115
1 vaccination
1 coded response
8 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 300 / GA
- Registered
- 2022-08-10
- Relationship
- Child or adolescent in my care
- Guardian
- VAC-20542-60962
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-01
Dose 1 — ModernaCo-administered: Hib:Rotavirus:Tetanus
-
2022-08-10
Registered in v-safe
- 2022-08-10
- 2022-08-15
- 2022-08-22
-
2022-08-31
Survey response — day 28, dose 1, under 3MedDRA: COVID-19, Cough, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID - fever, cough, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-09-05
- 2022-09-12
- 2022-10-31
- 2023-01-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-01 | Moderna | Hib:Rotavirus:Tetanus |
Free text
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: COVID - fever, cough, congestion
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 | COVID-19 | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release