K73-28216-31686
1 vaccination
1 coded response
14 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 928 / CA
- Registered
- 2022-06-29
- Relationship
- Child or adolescent in my care
- Guardian
- 7KN-27640-46114
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-29
Registered in v-safe
-
2022-06-29
Dose 1 — Moderna
-
2022-06-29
Health check-in — day 0, dose 1, under 3Feeling: Fair · Site: Pain, Redness, Swelling/hardness · Fever · Irritability/crying, Loss of appetiteUnder 3 check-in
-
2022-06-30
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Site: Pain, Redness · Fever · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-07-02
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/crying, Loss of appetiteUnder 3 check-in
-
2022-07-03
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
-
2022-07-05
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Sleepiness, Irritability/crying, Loss of appetiteUnder 3 check-in
- 2022-07-06
- 2022-07-16
- 2022-07-20
-
2022-08-01
Survey response — day 28, dose 1, under 3MedDRA: COVID-19, Diarrhoea, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID sx Diarrhea, feverMedDRA releases: 2024-11 · check-in free text available
- 2022-08-03
- 2022-08-10
- 2022-09-28
- 2022-12-28
- 2023-06-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-29 | Moderna | No |
Free text
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: COVID sx Diarrhea, fever
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 | Diarrhoea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release