RMJ-99171-68618
3 vaccinations
4 coded responses
29 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 980 / WA
- Registered
- 2022-07-03
- Relationship
- Child or adolescent in my care
- Guardian
- ZX7-11775-52517
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Dose 1 — Moderna
-
2022-07-03
Registered in v-safe
-
2022-07-03
Survey response — day 7, dose 1, dependentMedDRA: Ear pain — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Pain in left earMedDRA releases: 2024-11 · check-in free text available
-
2022-07-08
Survey response — day 14, dose 1, dependentMedDRA: Rash — Feeling: GoodFree text: Rash continues to spreadMedDRA releases: 2024-11 · check-in free text available
- 2022-07-15
-
2022-07-23
Survey response — day 28, dose 1, dependentMedDRA: Abdominal pain upper — Feeling: GoodFree text: Has been complaining of a stomachache for the last weekMedDRA releases: 2024-11 · check-in free text available
-
2022-07-28
Dose 2 — Moderna
-
2022-07-29
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Lymph node pain — Feeling: Poor · Site: Pain · Fever · Muscle or body aches · Be unable to work or attend schoolFree text: Armpit/lymph node painMedDRA releases: 2024-11 · check-in free text available
-
2022-07-31
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-08-01
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-08-02
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2022-08-03
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-09-01
- 2022-09-08
- 2022-10-27
- 2023-01-26
-
2023-02-19
Dose 3 — Moderna
- 2023-02-19
-
2023-02-20
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · NoneAdult check-in
-
2023-02-21
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2023-02-22
- 2023-02-24
- 2023-02-28
- 2023-03-05
- 2023-03-12
- 2023-03-19
- 2023-03-26
- 2023-04-04
- 2023-05-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-24 | Moderna | No |
| 2 | 2022-07-28 | Moderna | No |
| 3 | 2023-02-19 | Moderna | No |
Free text
Release 12 — day 7, dose 1, dependent
Systemic reaction (other): Pain in left ear
Release 12 — day 14, dose 1, dependent
Symptoms: Rash continues to spread
Release 12 — day 28, dose 1, dependent
Symptoms: Has been complaining of a stomachache for the last week
Release 12 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Armpit/lymph node 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 upper | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release