PBF-28310-17384
2 vaccinations
2 coded responses
23 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 144 / NY
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- 5B4-61807-64930
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-06-25
Registered in v-safe
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-10
- 2022-07-15
- 2022-07-24
-
2022-07-29
Dose 2 — Moderna
- 2022-07-29
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-03
- 2022-08-05
-
2022-08-14
Survey response — day 14, dose 2, under 3MedDRA: Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Fever for 3 days, no other symptoms. Negative home COVID test x2.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-19
- 2022-08-27
- 2022-09-02
-
2022-09-12
Survey response — day 42, dose 2, under 3MedDRA: Urticaria — Feeling: GoodFree text: UrticariaMedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2023-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-29 | Moderna | No |
Free text
Release 12 (Under 3) — day 14, dose 2, under 3
Symptoms: Fever for 3 days, no other symptoms. Negative home COVID test x2.
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Urticaria
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 | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release