GL4-25593-82897
2 vaccinations
1 coded response
25 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 532 / WI
- Registered
- 2022-08-16
- Relationship
- Child or adolescent in my care
- Guardian
- QQ3-96051-16767
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-16
Registered in v-safe
-
2022-08-16
Dose 1 — Moderna
- 2022-08-16
- 2022-08-17
- 2022-08-18
- 2022-08-19
- 2022-08-20
- 2022-08-21
- 2022-08-22
- 2022-08-23
- 2022-08-30
-
2022-09-06
Survey response — day 21, dose 1, dependentMedDRA: Ear infection, Eye discharge, Eye infection, Irritability, Lacrimation increased, Nasopharyngitis, Pyrexia, Respiratory tract congestion — Feeling: FairFree text: Probably a cold with eye and ear infection, watery and discharge from eye, fever for 24 hours, congestion, irritabilityMedDRA releases: 2024-11 · check-in free text available
- 2022-09-13
- 2022-09-20
-
2022-09-27
Dose 2 — Moderna
- 2022-09-27
-
2022-09-28
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-09-29
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-16 | Moderna | No |
| 2 | 2022-09-27 | Moderna | No |
Free text
Release 12 — day 21, dose 1, dependent
Symptoms: Probably a cold with eye and ear infection, watery and discharge from eye, fever for 24 hours, congestion, irritability
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 | Ear infection | · | · | ✓ |
| SD | Eye discharge | · | · | ✓ |
| SD | Eye infection | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release