QWX-26148-03155
2 vaccinations
4 coded responses
20 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 211 / MD
- Registered
- 2022-06-21
- Relationship
- Child or adolescent in my care
- Guardian
- MP6-33032-02569
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-21
Registered in v-safe
-
2022-06-21
Dose 1 — Moderna
- 2022-06-21
- 2022-06-22
- 2022-06-23
- 2022-06-24
- 2022-06-25
-
2022-06-26
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Irritability/cryingUnder 3 check-in
- 2022-06-27
- 2022-06-30
- 2022-07-05
-
2022-07-12
Survey response — day 21, dose 1, under 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: ColdMedDRA releases: 2024-11 · check-in free text available
-
2022-07-19
Survey response — day 28, dose 1, under 3MedDRA: Ear infection — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-07-19
Report sent to call center — day 28, dose 1, under 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-20
- 2022-07-26
-
2022-08-06
Dose 2 — Moderna
- 2022-08-14
- 2022-08-20
- 2022-08-27
- 2022-09-03
-
2022-09-10
Survey response — day 35, dose 2, under 3MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Runny nose & congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-09-17
- 2022-11-05
-
2023-02-04
Survey response — 6 months, dose 2, under 3MedDRA: Ear infection — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
| 2 | 2022-08-06 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Cold
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Ear infection
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: Runny nose & congestion
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 | Ear infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release