L6L-18912-47130
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 530 / WI
- Registered
- 2022-08-19
- Relationship
- Child or adolescent in my care
- Guardian
- 673-17611-87154
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-18
Dose 1 — Moderna
-
2022-08-19
Registered in v-safe
-
2022-08-19
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2022-08-20
- 2022-08-21
- 2022-08-22
- 2022-08-23
- 2022-08-24
- 2022-08-25
- 2022-09-03
- 2022-09-10
-
2022-09-15
Dose 2 — Moderna
-
2022-09-17
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-09-18
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Fever · Headache, Fatigue or tirednessAdult check-in
- 2022-09-19
- 2022-09-20
- 2022-09-21
-
2022-09-29
Survey response — day 14, dose 2, dependentMedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
- 2022-10-06
- 2022-10-13
-
2022-10-21
Survey response — day 35, dose 2, dependentMedDRA: Headache, Pruritus — Feeling: FairFree text: Headaches and itchy arms and legsMedDRA releases: 2024-11 · check-in free text available
- 2022-10-29
-
2022-12-16
Survey response — 3 months, dose 2, dependentMedDRA: Cough, Headache — Feeling: FairFree text: Cough and headacheMedDRA releases: 2024-11 · check-in free text available
- 2023-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-18 | Moderna | No |
| 2 | 2022-09-15 | Moderna | No |
Free text
Release 12 — day 14, dose 2, dependent
Symptoms: Headache
Release 12 — day 35, dose 2, dependent
Symptoms: Headaches and itchy arms and legs
Release 12 — 3 months, dose 2, dependent
Symptoms: Cough and headache
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 | Headache | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release