JKD-25334-59580
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 030 / NH
- Registered
- 2022-07-13
- Relationship
- Child or adolescent in my care
- Guardian
- 58Z-29935-78814
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-13
Registered in v-safe
-
2022-07-13
Dose 1 — Moderna
- 2022-07-13
- 2022-07-14
- 2022-07-15
- 2022-07-16
- 2022-07-17
- 2022-07-18
- 2022-07-19
-
2022-07-20
Survey response — day 7, dose 1, dependentMedDRA: Injection site pruritus, Injection site rash — Feeling: Good · Site: ItchingFree text: Rash/itchy bumps around injection site, first day of itMedDRA releases: 2024-11 · check-in free text available
-
2022-07-27
Survey response — day 14, dose 1, dependentMedDRA: Injection site erythema, Pain in extremity, Rash pruritic — Feeling: GoodFree text: Large itchy rash and then just a redness around injection site One night complained of leg pain. Dont know if it was related or unrelated to vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-03
- 2022-08-10
-
2022-08-12
Dose 2 — Moderna
- 2022-08-17
-
2022-08-18
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Pyrexia, Rhinorrhoea, Self-medication — Feeling: Good · Fatigue or tirednessFree text: Has had a runny nose since 48 hours post-vaccine. Had fever all the day following vaccine, even with TylenolMedDRA releases: 2024-11 · check-in free text available
-
2022-08-19
Survey response — day 7, dose 2, dependentMedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny nose since 36 hrs+ from vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-08-26
-
2022-09-02
Survey response — day 21, dose 2, dependentMedDRA: Body temperature increased, Diarrhoea, Frequent bowel movements — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had loose/unformed/diarrhea-like, abnormally frequent stools 4 days ago. Elevated temp (99.6) that day as well. Stools arestill not fully formed but improved and no longer more frequent than normal. We did not test her for COVID.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-09
- 2022-09-16
- 2022-09-23
-
2022-11-11
Survey response — 3 months, dose 2, dependentMedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: A cold (COVID negative). New cold symptoms today that I haven't yet tested.MedDRA releases: 2024-11 · check-in free text available
- 2023-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-13 | Moderna | No |
| 2 | 2022-08-12 | Moderna | No |
Free text
Release 12 — day 7, dose 1, dependent
Systemic reaction (other): Rash/itchy bumps around injection site, first day of it
Release 12 — day 14, dose 1, dependent
Symptoms: Large itchy rash and then just a redness around injection site One night complained of leg pain. Dont know if it was related or unrelated to vaccine.
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Has had a runny nose since 48 hours post-vaccine. Had fever all the day following vaccine, even with Tylenol
Release 12 — day 7, dose 2, dependent
Systemic reaction (other): Runny nose since 36 hrs+ from vaccine
Release 12 — day 21, dose 2, dependent
Symptoms: Had loose/unformed/diarrhea-like, abnormally frequent stools 4 days ago. Elevated temp (99.6) that day as well. Stools arestill not fully formed but improved and no longer more frequent than normal. We did not test her for COVID.
Release 12 — 3 months, dose 2, dependent
Symptoms: A cold (COVID negative). New cold symptoms today that I haven't yet tested.
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 | Body temperature increased | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Frequent bowel movements | · | · | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Injection site rash | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release