QLK-23005-15150
2 vaccinations
1 coded response
6 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 631 / MO
- Registered
- 2022-08-08
- Relationship
- Child or adolescent in my care
- Guardian
- 2T6-33786-65264
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-06
Dose 1 — Moderna
-
2022-08-05
Dose 2 — Moderna
-
2022-08-08
Registered in v-safe
- 2022-08-08
- 2022-08-14
- 2022-08-26
- 2022-09-02
- 2022-09-11
-
2023-02-03
Survey response — 6 months, dose 2, under 3MedDRA: COVID-19, Ear infection, Gastroenteritis viral, Nasopharyngitis, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-02-03
Report sent to call center — 6 months, dose 2, under 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2023-02-06
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-06 | Moderna | No |
| 2 | 2022-08-05 | Moderna | No |
Call center
1 call center case
1 successful
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release