GSB-64687-27287
2 vaccinations
1 coded response
16 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 021 / MA
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- 9NR-17147-63432
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-06-22
Dose 1 — Moderna
- 2022-06-22
- 2022-06-24
- 2022-06-25
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-07-06
- 2022-07-13
-
2022-07-20
Dose 2 — Moderna
-
2022-07-27
Health check-in — day 7, dose 2, dependentFeeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-08-05
- 2022-08-10
- 2022-08-17
-
2022-08-24
Survey response — day 35, dose 2, dependentMedDRA: Cough, Pyrexia, Retching, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough, gagging, low grade fever, runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-08-24
Report sent to call center — day 35, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-25
- 2022-09-02
- 2022-10-19
- 2023-01-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — day 35, dose 2, dependent
Symptoms: Cough, gagging, low grade fever, runny nose
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 | Pyrexia | · | · | ✓ |
| SD | Retching | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release