K4A-13267-91986
1 vaccination
3 coded responses
9 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 201 / VA
- Registered
- 2022-09-29
- Relationship
- Child or adolescent in my care
- Guardian
- 4CZ-35272-29360
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-09-28
Dose 1 — Moderna
-
2022-09-29
Registered in v-safe
-
2022-09-29
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Sleepiness, Irritability/crying, Loss of appetiteFree text: Cough and runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-09-30
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Cough, Rhinorrhoea — Feeling: Poor · Fever · Sleepiness, Irritability/crying, Loss of appetite, DiarrheaFree text: Runny nose and cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-01
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetiteFree text: Cough and runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-10-02
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Sleepiness, Irritability/crying, Loss of appetite, Rash, not including the immediate area around the injection siteUnder 3 check-in
-
2022-10-03
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Rash, not including the immediate area around the injection siteUnder 3 check-in
- 2022-10-04
- 2022-10-21
- 2022-11-02
- 2022-12-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-09-28 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Cough and runny nose
Systemic reaction (other): Runny nose and cough.
Systemic reaction (other): Cough and 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 |
|---|---|---|---|---|
| SRO | Cough | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release