HZ2-19007-86854
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 770 / TX
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- YAL-23876-64498
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-06-25
Registered in v-safe
-
2022-06-25
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-06-26
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-06-27
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Injection site rash — Feeling: Good · Site: ItchingFree text: Bumps around the site of injectionMedDRA releases: 2024-11 · check-in free text available
-
2022-06-28
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-08
- 2022-07-17
-
2022-07-23
Survey response — day 28, dose 1, dependentMedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cough; congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-07-29
Dose 2 — Moderna
-
2022-07-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-07-31
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-08-02
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-08-03
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · NoneAdult check-in
-
2022-08-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-08-12
Survey response — day 14, dose 2, dependentMedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2024-11 · check-in free text available
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2022-08-21
Survey response — day 21, dose 2, dependentMedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-09-04
- 2022-09-11
- 2022-11-01
- 2023-01-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-29 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Bumps around the site of injection
Release 12 — day 28, dose 1, dependent
Symptoms: Cough; congestion
Release 12 — day 14, dose 2, dependent
Symptoms: Cough
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 | Respiratory tract congestion | · | · | ✓ |
| SRO | Injection site rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release