PW6-58276-03691
2 vaccinations
0 coded responses
25 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 786 / TX
- Registered
- 2022-07-22
- Relationship
- Child or adolescent in my care
- Guardian
- U89-31711-85706
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-21
Dose 1 — ModernaCo-administered: MMR:Polio:Tetanus
-
2022-07-22
Registered in v-safe
-
2022-07-22
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain, Redness, Swelling · DiarrheaAdult check-in
-
2022-07-23
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Redness · NoneAdult check-in
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-09-01
-
2022-09-03
Dose 2 — ModernaCo-administered: Flu
-
2022-09-03
Health check-in — day 0, dose 2, dependentFeeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2022-09-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fever · Muscle or body achesAdult check-in
- 2022-09-05
- 2022-09-06
- 2022-09-08
- 2022-09-09
- 2022-09-10
- 2022-09-17
- 2022-09-24
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-12-03
- 2023-03-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-21 | Moderna | MMR:Polio:Tetanus |
| 2 | 2022-09-03 | Moderna | Flu |
Free text
None.
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
No MedDRA codes.