QZS-17099-05215
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 018 / MA
- Registered
- 2022-06-30
- Relationship
- Child or adolescent in my care
- Guardian
- DVP-13617-20262
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-30
Registered in v-safe
-
2022-06-30
Dose 1 — Moderna
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-04
- 2022-07-05
- 2022-07-06
- 2022-07-07
- 2022-07-14
- 2022-07-21
- 2022-07-28
-
2022-08-04
Dose 2 — Moderna
-
2022-08-04
Health check-in — day 0, dose 2, under 3Feeling: Good · Site: Pain, Redness · NoneUnder 3 check-in
-
2022-08-05
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Redness · SleepinessUnder 3 check-in
-
2022-08-06
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Injection site bruising — Feeling: Good · Site: Redness · SleepinessFree text: Mild bruising at the injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-08-07
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Contusion — Feeling: Good · Site: RednessFree text: BruisingMedDRA releases: 2024-11 · check-in free text available
-
2022-08-09
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Injection site bruising — Feeling: GoodFree text: Bruising around injection site that is healing nicelyMedDRA releases: 2024-11 · check-in free text available
- 2022-08-10
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-09-01
- 2022-09-08
-
2022-09-17
Survey response — day 42, dose 2, under 3MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold symptoms - coughing, runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
- 2023-02-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-30 | Moderna | No |
| 2 | 2022-08-04 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Mild bruising at the injection site
Systemic reaction (other): Bruising
Systemic reaction (other): Bruising around injection site that is healing nicely
Release 12 (Under 3) — day 42, dose 2, under 3
Symptoms: Cold symptoms - coughing, runny nose
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 | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release