H8C-10484-89225
1 vaccination
2 coded responses
9 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 021 / MA
- Registered
- 2022-07-12
- Relationship
- Child or adolescent in my care
- Guardian
- YP6-64592-56003
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-29
Dose 1 — Moderna
-
2022-07-12
Registered in v-safe
- 2022-07-12
- 2022-07-13
- 2022-07-20
- 2022-07-27
- 2022-08-03
- 2022-08-10
-
2022-09-28
Survey response — 3 months, dose 1, under 3MedDRA: Nasopharyngitis — Feeling: PoorFree text: She has a bad cold today. Normal 3 year old stuff.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-28
Survey response — 6 months, dose 1, under 3MedDRA: COVID-19, Croup infectious, Ear infection — Feeling: Fair · 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: She had covid over Halloween, and a double ear infection and croup earlier in Dec.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-28
Report sent to call center — 6 months, dose 1, under 3Be 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)
- 2022-12-29
-
2022-12-29
Call successfulDoes not wish to fill out VAERS report
- 2023-06-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-28 | Successful 2022-12-29 |
Does not wish to fill out VAERS report |
Free text
Release 12 (Under 3) — 3 months, dose 1, under 3
Symptoms: She has a bad cold today. Normal 3 year old stuff.
Release 12 (Under 3) — 6 months, dose 1, under 3
Symptoms: She had covid over Halloween, and a double ear infection and croup earlier in Dec.
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 | COVID-19 | · | · | ✓ |
| SD | Croup infectious | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release