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F5U-15894-79480

3 vaccinations 4 coded responses 27 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
0-4
ZIP prefix
787 / TX
Registered
2022-06-24
Relationship
Child or adolescent in my care
Guardian
SXG-16903-57139
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-06-24
    Registered in v-safe
  2. 2022-06-24
    Dose 1 — Moderna
  3. 2022-06-24
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2022-06-25
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2022-06-27
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  6. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-07-05
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-10
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2022-07-15
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  10. 2022-07-22
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2022-07-26
    Dose 2 — Moderna
  12. 2022-07-27
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  13. 2022-07-28
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2022-07-30
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2022-07-31
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2022-08-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2022-08-02
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2022-08-09
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  19. 2022-08-16
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  20. 2022-08-23
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2022-08-30
    Survey response — day 35, dose 2, dependent
    MedDRA: Cough, Headache, Oropharyngeal pain, Pyrexia, Rhinorrhoea, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Fever, cough, runny nose, headache, sore throat, vomiting with 3 negative antigen test results across 4 days
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-09-08
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-10-25
    Survey response — 3 months, dose 2, dependent
    MedDRA: Influenza like illness, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Flu like symptoms with two negative rapid Covid tests
    MedDRA releases: 2024-11 · check-in free text available
  24. 2023-01-25
    Survey response — 6 months, dose 2, dependent
    MedDRA: Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  25. 2023-03-10
    Dose 3 — Moderna
  26. 2023-03-11
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  27. 2023-03-12
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  28. 2023-03-13
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  29. 2023-03-17
    Survey response — day 7, dose 3, dependent
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Itching
    MedDRA releases: 2024-11
  30. 2023-03-25
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  31. 2023-04-24
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-06-24Moderna No
22022-07-26Moderna No
32023-03-10Moderna No

Free text

Release 12 — day 35, dose 2, dependent

2022-08-30

Symptoms: Fever, cough, runny nose, headache, sore throat, vomiting with 3 negative antigen test results across 4 days

Release 12 — 3 months, dose 2, dependent

2022-10-25

Symptoms: Flu like symptoms with two negative rapid Covid tests

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDHeadache · · ✓
SDInfluenza like illness · · ✓
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDUnevaluable event · · ✓
SDVomiting · · ✓
SROLymphadenopathy · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release