J8P-33113-57922
1 vaccination
2 coded responses
9 check-ins
2 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 0-4
- ZIP prefix
- 752 / TX
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- 5S8-19382-05466
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-27
Dose 1 — Moderna
-
2022-06-29
Registered in v-safe
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-04
- 2022-07-12
- 2022-07-20
-
2022-09-27
Survey response — 3 months, dose 1, dependentMedDRA: Ear infection, Malaise, Viral infection — Feeling: Good · Be unable to work or attend schoolFree text: Had a virus right after school started (symptoms matched covid) and then a couple weeks later an ear infection but she is better nowMedDRA releases: 2024-11 · check-in free text available
-
2022-12-26
Survey response — 6 months, dose 1, dependentMedDRA: Influenza, Respiratory syncytial virus infection, Sinusitis, Urticaria — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Flu, Sinus Infection, RSV, possible allergic reaction to amoxicillin or a viral infection where she developed external full body hives that lasted 4 days.MedDRA releases: 2024-11 · check-in free text available
- 2023-06-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-27 | Moderna | No |
Free text
Release 12 — 3 months, dose 1, dependent
Symptoms: Had a virus right after school started (symptoms matched covid) and then a couple weeks later an ear infection but she is better now
Release 12 — 6 months, dose 1, dependent
Symptoms: Flu, Sinus Infection, RSV, possible allergic reaction to amoxicillin or a viral infection where she developed external full body hives that lasted 4 days.
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 | Influenza | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release