QHF-21038-16087
2 vaccinations
2 coded responses
10 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 559 / MN
- Registered
- 2023-01-03
- Relationship
- Child or adolescent in my care
- Guardian
- BYR-81888-84019
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-11-23
Dose 1 — ModernaCo-administered: Flu
-
2022-12-30
Dose 2 — ModernaCo-administered: Flu
-
2023-01-03
Registered in v-safe
-
2023-01-03
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2023-01-05
- 2023-01-06
- 2023-01-13
-
2023-01-20
Survey response — day 21, dose 2, under 3MedDRA: Otitis media acute, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-01-27
-
2023-02-03
Survey response — day 35, dose 2, under 3MedDRA: Otitis media acute — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-02-10
- 2023-03-31
- 2023-06-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-11-23 | Moderna | Flu |
| 2 | 2022-12-30 | 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Otitis media acute | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release