Q3X-14134-95347
2 vaccinations
3 coded responses
10 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 930 / CA
- Registered
- 2023-03-03
- Relationship
- Child or adolescent in my care
- Guardian
- RTG-29313-89472
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2023-02-21
Dose 1 — Moderna
-
2023-03-03
Registered in v-safe
-
2023-03-03
Survey response — day 7, dose 1, under 3MedDRA: Nasal congestion — Feeling: Fair · Fever · Irritability/crying · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-03-07
-
2023-03-21
Dose 2 — Moderna
- 2023-03-25
-
2023-03-26
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Irritability, Teething — Feeling: Good · Irritability/crying · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-03-27
-
2023-03-28
Health check-in — day 7, dose 2, under 3Feeling: Fair · Irritability/crying · Be unable to do your normal daily activitiesUnder 3 check-in
- 2023-04-11
-
2023-04-20
Survey response — day 28, dose 2, under 3MedDRA: Pustule, Self-medication — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-25
- 2023-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2023-02-21 | Moderna | No |
| 2 | 2023-03-21 | Moderna | No |
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Pustule | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Irritability | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Teething | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release