QB2-17518-58601
2 vaccinations
8 coded responses
20 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 021 / MA
- Registered
- 2022-07-25
- Relationship
- Child or adolescent in my care
- Guardian
- CNL-13103-68359
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-25
Registered in v-safe
-
2022-07-25
Dose 1 — ModernaCo-administered: Hepatitis B:Hib:Pneumonia:Polio:Rotavirus:Tetanus
-
2022-07-25
Health check-in — day 0, dose 1, under 3Feeling: Fair · Site: Pain, Redness · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-07-26
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Pain, Redness · NoneUnder 3 check-in
- 2022-07-27
- 2022-07-29
- 2022-07-30
- 2022-07-31
- 2022-08-02
-
2022-08-08
Survey response — day 14, dose 1, under 3MedDRA: Nasal congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nasal congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-18
- 2022-08-27
- 2022-08-29
-
2022-08-30
Dose 2 — Moderna
-
2022-09-04
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Respiratory tract congestion — Feeling: FairFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
-
2022-09-05
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Respiratory tract congestion — Feeling: FairFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2022-09-06
-
2022-09-20
Survey response — day 21, dose 2, under 3MedDRA: Dyspepsia, Infantile spitting up — Feeling: FairFree text: indigestion - spitting up food she formerly could handleMedDRA releases: 2024-11 · check-in free text available
- 2022-09-27
-
2022-10-06
Survey response — day 35, dose 2, under 3MedDRA: Constipation, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend schoolFree text: Fever, pain, constipationMedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Survey response — day 42, dose 2, under 3MedDRA: Decreased appetite, Diarrhoea, Flatulence, Irritability, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lack of appetite, gassy, diarrhea, sleepy, irritableMedDRA releases: 2024-11 · check-in free text available
-
2022-11-30
Survey response — 3 months, dose 2, under 3MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Something from the current pediatric plague. Not covid. Nasal drip & congestion, chesty cough, sore throat.MedDRA releases: 2024-11 · check-in free text available
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2023-02-28
Survey response — 6 months, dose 2, under 3MedDRA: Conjunctivitis, Influenza, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, 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
-
2023-02-28
Report sent to call center — 6 months, dose 2, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-01
- 2023-03-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-25 | Moderna | Hepatitis B:Hib:Pneumonia:Polio:Rotavirus:Tetanus |
| 2 | 2022-08-30 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Nasal congestion.
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Congestion
Systemic reaction (other): Congestion
Release 12 (Under 3) — day 21, dose 2, under 3
Symptoms: indigestion - spitting up food she formerly could handle
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: Fever, pain, constipation
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Lack of appetite, gassy, diarrhea, sleepy, irritable
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Something from the current pediatric plague. Not covid. Nasal drip & congestion, chesty cough, sore throat.
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 | Conjunctivitis | · | · | ✓ |
| SD | Constipation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Flatulence | · | · | ✓ |
| SD | Infantile spitting up | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release