MQ9-25718-35876
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 850 / AZ
- Registered
- 2022-10-16
- Relationship
- Child or adolescent in my care
- Guardian
- 2BZ-12409-56471
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-10-06
Dose 1 — ModernaCo-administered: Flu
-
2022-10-16
Registered in v-safe
-
2022-10-16
Health check-in — day 7, dose 1, dependentFeeling: Fair · Site: Redness · Fever · HeadacheAdult check-in
-
2022-10-20
Survey response — day 14, dose 1, dependentMedDRA: Headache, Nasopharyngitis, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: She has a relapse of a cold that the whole family had last week. Fever and headache today. Last week it was fever, headache, sore throat, congestion, runny nose.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
-
2022-11-03
Survey response — day 28, dose 1, dependentMedDRA: Cough, Ear infection, Nasal congestion, Pyrexia — Feeling: Poor · Be unable to work or attend schoolFree text: Fever, stuffy nose, cough, ear infection.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-10
-
2022-11-15
Dose 2 — ModernaCo-administered: MMR:Tetanus
-
2022-11-16
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain, Swelling · Fever · None · Be unable to work or attend schoolAdult check-in
- 2022-11-17
- 2022-11-18
- 2022-11-19
- 2022-11-20
- 2022-11-21
- 2022-11-22
- 2022-11-29
- 2022-12-08
- 2022-12-13
- 2022-12-20
-
2022-12-29
Survey response — day 42, dose 2, dependentMedDRA: COVID-19, Malaise — Feeling: Good · Be unable to work or attend schoolFree text: Had Covid. Symptoms were mild and short lived.MedDRA releases: 2024-11 · check-in free text available
- 2023-02-14
- 2023-05-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-06 | Moderna | Flu |
| 2 | 2022-11-15 | Moderna | MMR:Tetanus |
Free text
Release 12 — day 14, dose 1, dependent
Symptoms: She has a relapse of a cold that the whole family had last week. Fever and headache today. Last week it was fever, headache, sore throat, congestion, runny nose.
Release 12 — day 28, dose 1, dependent
Symptoms: Fever, stuffy nose, cough, ear infection.
Release 12 — day 42, dose 2, dependent
Symptoms: Had Covid. Symptoms were mild and short lived.
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 | COVID-19 | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release