FBC-14940-70405
3 vaccinations
5 coded responses
35 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 782 / TX
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- QV9-92528-40103
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Registered in v-safe
-
2022-06-24
Dose 1 — Moderna
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-30
- 2022-07-03
- 2022-07-08
- 2022-07-15
-
2022-07-22
Dose 2 — Moderna
- 2022-07-22
-
2022-07-23
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Pain · NoneUnder 3 check-in
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
-
2022-07-29
Health check-in — day 7, dose 2, under 3Feeling: Fair · Vomiting · Be unable to work or attend schoolUnder 3 check-in
- 2022-08-05
-
2022-08-12
Survey response — day 21, dose 2, under 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: RhinorrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-08-19
- 2022-08-26
-
2022-09-02
Survey response — day 42, dose 2, under 3MedDRA: Cough, Respiratory tract congestion — Feeling: GoodFree text: Cough and congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2023-01-20
-
2023-03-01
Dose 3 — Moderna
- 2023-03-01
-
2023-03-02
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Good · Site: Pain · NoneUnder 3 check-in
- 2023-03-03
- 2023-03-04
- 2023-03-05
- 2023-03-06
- 2023-03-08
- 2023-03-15
-
2023-03-22
Survey response — day 21, dose 3, under 3MedDRA: Eczema, Pre-existing disease — Feeling: GoodMedDRA releases: 2024-11
- 2023-03-31
- 2023-04-05
- 2023-04-12
- 2023-05-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-22 | Moderna | No |
| 3 | 2023-03-01 | Moderna | No |
Free text
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Rhinorrhea
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Cough and 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 | Eczema | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release