KT5-27101-43100
2 vaccinations
1 coded response
25 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 384 / TN
- Registered
- 2022-07-07
- Relationship
- Child or adolescent in my care
- Guardian
- KVY-17605-40488
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-07
Registered in v-safe
-
2022-07-07
Dose 1 — Moderna
-
2022-07-07
Health check-in — day 0, dose 1, under 3Feeling: Good · Sleepiness, Irritability/cryingUnder 3 check-in
- 2022-07-08
- 2022-07-09
- 2022-07-10
- 2022-07-11
- 2022-07-12
- 2022-07-13
- 2022-07-14
- 2022-07-21
- 2022-07-28
-
2022-08-08
Dose 2 — Moderna
- 2022-08-08
- 2022-08-09
- 2022-08-10
- 2022-08-11
- 2022-08-12
- 2022-08-13
- 2022-08-14
- 2022-08-15
- 2022-08-22
-
2022-08-29
Survey response — day 21, dose 2, under 3MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Covid-19MedDRA releases: 2024-11 · check-in free text available
-
2022-08-29
Report sent to call center — day 21, dose 2, under 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-30
- 2022-09-05
- 2022-09-12
- 2022-09-19
- 2022-11-07
- 2023-02-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-07 | Moderna | No |
| 2 | 2022-08-08 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: Covid-19
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 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release