FT3-14185-87246
2 vaccinations
2 coded responses
15 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 980 / WA
- Registered
- 2022-07-12
- Relationship
- Child or adolescent in my care
- Guardian
- L3W-16242-86525
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-07-10
Dose 1 — Moderna
-
2022-07-12
Registered in v-safe
- 2022-07-12
- 2022-07-13
- 2022-07-14
- 2022-07-15
- 2022-07-16
- 2022-07-17
- 2022-07-26
- 2022-07-31
-
2022-08-08
Survey response — day 28, dose 1, dependentMedDRA: Influenza like illness — Feeling: Poor · Be unable to work or attend schoolFree text: Flu like symptoms since SundayMedDRA releases: 2024-11 · check-in free text available
-
2022-08-09
Dose 2 — Moderna
- 2022-08-16
- 2022-08-23
-
2022-08-30
Survey response — day 21, dose 2, dependentMedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-09-13
- 2022-09-20
- 2023-02-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-10 | Moderna | No |
| 2 | 2022-08-09 | Moderna | No |
Free text
Release 12 — day 28, dose 1, dependent
Symptoms: Flu like symptoms since Sunday
Release 12 — day 21, dose 2, dependent
Symptoms: 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 | Influenza like illness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release