QDS-11225-97628
2 vaccinations
2 coded responses
21 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 070 / NJ
- Registered
- 2022-06-23
- Relationship
- Child or adolescent in my care
- Guardian
- AVW-50928-42267
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-20
Dose 1 — Moderna
-
2022-06-23
Registered in v-safe
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-07-04
- 2022-07-11
- 2022-07-18
-
2022-07-20
Dose 2 — Moderna
-
2022-07-21
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Insomnia — Feeling: Fair · Fever · Irritability/cryingFree text: Trouble sleeping last night (approx 9 hours post vaccine)MedDRA releases: 2024-11 · check-in free text available
-
2022-07-22
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-08-03
- 2022-08-10
- 2022-08-24
- 2022-08-31
- 2022-10-19
-
2023-01-18
Survey response — 6 months, dose 2, under 3MedDRA: Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-20 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Trouble sleeping last night (approx 9 hours post vaccine)
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 | Rhinorrhoea | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release