LKG-14366-20968
2 vaccinations
2 coded responses
24 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 775 / TX
- Registered
- 2022-06-21
- Relationship
- Child or adolescent in my care
- Guardian
- QHK-13871-76225
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Registered in v-safe
-
2022-06-21
Dose 1 — Moderna
-
2022-06-21
Survey response — day 0, dose 1, dependentMedDRA: Irritability — Feeling: Good · Fatigue or tirednessFree text: IrritabilityMedDRA releases: 2024-11 · check-in free text available
- 2022-06-22
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-07-05
- 2022-07-12
-
2022-07-19
Dose 2 — Moderna
- 2022-07-19
-
2022-07-20
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Fever · Abdominal painAdult check-in
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-08-02
- 2022-08-09
- 2022-08-16
- 2022-08-23
- 2022-08-30
-
2022-10-18
Survey response — 3 months, dose 2, dependentMedDRA: Decreased appetite, Fatigue, Influenza virus test negative, Pyrexia, SARS-CoV-2 test negative, Viral infection, Vomiting — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Viral illness (tested negative for COVID and flu) which involved fever, fatigue, vomiting, reduced appetite.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-18
Report sent to call center — 3 months, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-19
-
2022-10-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-01-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-07-19 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 12 — day 0, dose 1, dependent
Systemic reaction (other): Irritability
Release 12 — 3 months, dose 2, dependent
Symptoms: Viral illness (tested negative for COVID and flu) which involved fever, fatigue, vomiting, reduced appetite.
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 | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release