QRL-33795-89005
3 vaccinations
2 coded responses
36 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 834 / ID
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- B6U-27442-42589
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-28
Registered in v-safe
-
2022-06-28
Dose 1 — Moderna
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-04
- 2022-07-05
-
2022-07-12
Survey response — day 14, dose 1, under 3MedDRA: Diarrhoea — Feeling: FairFree text: DiarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-07-19
-
2022-07-26
Dose 2 — Moderna
- 2022-07-26
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Poor · Fever · Irritability/cryingUnder 3 check-in
- 2022-07-28
- 2022-07-29
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-02
- 2022-08-09
- 2022-08-16
- 2022-08-16
- 2022-08-23
- 2022-08-30
- 2022-09-06
-
2022-10-27
Survey response — 3 months, dose 2, under 3MedDRA: Abdominal pain, Pyrexia, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Vomiting, fever, abdominal painMedDRA releases: 2024-11 · check-in free text available
-
2023-01-04
Dose 3 — Moderna
- 2023-01-07
- 2023-01-08
- 2023-01-09
- 2023-01-10
- 2023-01-11
- 2023-01-18
- 2023-01-25
- 2023-02-01
- 2023-02-08
- 2023-02-15
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-28 | Moderna | No |
| 2 | 2022-07-26 | Moderna | No |
| 3 | 2023-01-04 | Moderna | No |
Free text
Release 12 (Under 3) — day 14, dose 1, under 3
Symptoms: Diarrhea
Release 12 (Under 3) — 3 months, dose 2, under 3
Symptoms: Vomiting, fever, abdominal pain
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 | Abdominal pain | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release