KH6-69767-20103
1 vaccination
1 coded response
10 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 021 / MA
- Registered
- 2022-06-30
- Relationship
- Child or adolescent in my care
- Guardian
- DE7-84616-16873
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-30
Registered in v-safe
-
2022-06-30
Dose 1 — ModernaCo-administered: Chickenpox:Hepatitis A:MMR
-
2022-06-30
Health check-in — day 0, dose 1, under 3Feeling: Good · Rash, not including the immediate area around the injection siteUnder 3 check-in
- 2022-07-01
-
2022-07-02
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 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: Fair · Irritability/crying, Loss of appetite, Diarrhea · Be unable to work or attend schoolUnder 3 check-in
-
2022-07-06
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/crying, Loss of appetite · Be unable to work or attend schoolUnder 3 check-in
- 2022-07-07
- 2022-07-14
- 2022-07-21
-
2022-12-29
Survey response — 6 months, dose 1, under 3MedDRA: Asthma — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: AsthmaMedDRA releases: 2024-11 · check-in free text available
-
2022-12-29
Report sent to call center — 6 months, dose 1, under 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-12-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-30 | Moderna | Chickenpox:Hepatitis A:MMR |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 (Under 3) — 6 months, dose 1, under 3
Symptoms: Asthma
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 | Asthma | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release