NZR-76659-28378
2 vaccinations
2 coded responses
15 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 028 / RI
- Registered
- 2022-06-30
- Relationship
- Child or adolescent in my care
- Guardian
- 8VZ-22776-67107
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-30
Registered in v-safe
-
2022-06-30
Dose 1 — Moderna
- 2022-06-30
- 2022-07-03
- 2022-07-04
- 2022-07-05
-
2022-07-06
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Urticaria — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend schoolFree text: HivesMedDRA releases: 2024-11 · check-in free text available
-
2022-07-07
Health check-in — day 7, dose 1, dependentFeeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2022-07-14
- 2022-07-21
-
2022-07-28
Dose 2 — Moderna
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-09-01
-
2022-09-08
Survey response — day 42, dose 2, dependentMedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-10-29
- 2023-01-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-30 | Moderna | No |
| 2 | 2022-07-28 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Hives
Release 12 — day 42, dose 2, dependent
Symptoms: Cough
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 | · | · | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release