L2V-96275-29261
2 vaccinations
3 coded responses
17 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 283 / NC
- Registered
- 2022-10-13
- Relationship
- Child or adolescent in my care
- Guardian
- 9HA-14446-41108
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-10-04
Dose 1 — Moderna
-
2022-10-13
Registered in v-safe
- 2022-10-13
- 2022-10-18
-
2022-10-25
Survey response — day 21, dose 1, under 3MedDRA: Influenza — Feeling: Fair · 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: FluMedDRA releases: 2024-11 · check-in free text available
-
2022-10-25
Report sent to call center — day 21, dose 1, 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)
- 2022-10-26
- 2022-11-01
-
2022-11-04
Dose 2 — ModernaCo-administered: Hepatitis B
-
2022-11-05
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Poor · Fever · Irritability/crying · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-11-06
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Site: Redness · Irritability/cryingUnder 3 check-in
-
2022-11-07
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteUnder 3 check-in
-
2022-11-08
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Redness · NoneUnder 3 check-in
- 2022-11-10
-
2022-11-11
Health check-in — day 7, dose 2, under 3Feeling: Fair · Irritability/crying · Be unable to do your normal daily activitiesUnder 3 check-in
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-11
- 2022-12-16
-
2023-02-03
Survey response — 3 months, dose 2, under 3MedDRA: Emotional disorder, Irritability, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-05-07
Survey response — 6 months, dose 2, under 3MedDRA: Ear infection, Pre-existing disease, Viral infection — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-04 | Moderna | No |
| 2 | 2022-11-04 | Moderna | Hepatitis B |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Flu
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 | Ear infection | · | · | ✓ |
| SD | Emotional disorder | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release