L54-28289-22894
1 vaccination
1 coded response
12 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 751 / TX
- Registered
- 2022-06-27
- Relationship
- Child or adolescent in my care
- Guardian
- EKG-32505-95417
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-26
Dose 1 — Moderna
-
2022-06-27
Registered in v-safe
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-10
-
2022-07-17
Survey response — day 21, dose 1, dependentMedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough, congestion, feverMedDRA releases: 2024-11 · check-in free text available
-
2022-07-17
Report sent to call center — day 21, dose 1, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-18
-
2022-07-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-09-25
- 2022-12-25
- 2023-06-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-26 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — day 21, dose 1, dependent
Symptoms: Cough, congestion, 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 | Cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release