PA3-64010-68493
3 vaccinations
3 coded responses
31 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 328 / FL
- Registered
- 2022-08-04
- Relationship
- Child or adolescent in my care
- Guardian
- JFS-17810-40431
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-08-03
Dose 1 — ModernaCo-administered: Hib:Other:Polio:Rotavirus:Tetanus
-
2022-08-04
Registered in v-safe
-
2022-08-05
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Site: Redness · NoneUnder 3 check-in
-
2022-08-06
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-08-07
- 2022-08-08
- 2022-08-09
- 2022-08-10
-
2022-08-17
Survey response — day 14, dose 1, under 3MedDRA: Cough, Nasopharyngitis, Office visit, Pyrexia, Secretion discharge — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold-like symptoms, likely caught at Dr office. Mild fever 2 days, lots of mucus, a little coughing. Family tested negative for COVID. No other outings.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-24
- 2022-09-01
-
2022-09-06
Dose 2 — Moderna
-
2022-09-07
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
- 2022-09-08
- 2022-09-09
- 2022-09-10
- 2022-09-11
- 2022-09-12
-
2022-09-21
Survey response — day 14, dose 2, under 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Caught a cold from preschool cousins, tested negative for COVIDMedDRA releases: 2024-11 · check-in free text available
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-12-06
- 2023-03-07
-
2023-05-08
Dose 3 — ModernaCo-administered: Hib:Tetanus
- 2023-05-09
-
2023-05-10
Health check-in — days 1–6 daily, dose 3, under 3Feeling: Good · Fever · SleepinessUnder 3 check-in
- 2023-05-13
- 2023-05-14
- 2023-05-15
- 2023-05-22
- 2023-05-29
- 2023-06-07
- 2023-06-12
-
2023-06-19
Survey response — day 42, dose 3, under 3MedDRA: COVID-19, Cough, Medical counselling, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-03 | Moderna | Hib:Other:Polio:Rotavirus:Tetanus |
| 2 | 2022-09-06 | Moderna | No |
| 3 | 2023-05-08 | Moderna | Hib:Tetanus |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Cold-like symptoms, likely caught at Dr office. Mild fever 2 days, lots of mucus, a little coughing. Family tested negative for COVID. No other outings.
Release 12 (Under 3) — day 14, dose 2, under 3
Symptoms: Caught a cold from preschool cousins, tested negative for COVID
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release