LWD-24948-04963
1 vaccination
3 coded responses
12 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 435 / OH
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- UUW-28665-51345
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-23
Registered in v-safe
-
2022-06-23
Dose 1 — Moderna
- 2022-06-23
-
2022-06-24
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Irritability — Feeling: Good · Site: PainFree text: Irritability (mild)MedDRA releases: 2024-11 · check-in free text available
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-07-02
- 2022-07-07
- 2022-07-14
-
2022-07-21
Survey response — day 28, dose 1, dependentMedDRA: Von Willebrand's disease — Feeling: GoodFree text: Diagnosed with low von willebrand factor (unrelated to vaccine)MedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Survey response — 3 months, dose 1, dependentMedDRA: Von Willebrand's disease — Feeling: GoodFree text: Diagnosed with Von Willebrand Disease (unrelated to vaccine)MedDRA releases: 2024-11 · check-in free text available
- 2022-12-22
- 2023-06-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-23 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Irritability (mild)
Release 12 — day 28, dose 1, dependent
Symptoms: Diagnosed with low von willebrand factor (unrelated to vaccine)
Release 12 — 3 months, dose 1, dependent
Symptoms: Diagnosed with Von Willebrand Disease (unrelated to vaccine)
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 | Von Willebrand's disease | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release