RQN-16465-59329
1 vaccination
2 coded responses
8 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 836 / ID
- Registered
- 2022-08-05
- Relationship
- Child or adolescent in my care
- Guardian
- 3DV-27780-69226
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-08-04
Dose 1 — Moderna
-
2022-08-05
Registered in v-safe
-
2022-08-05
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Pain · Irritability/cryingUnder 3 check-in
- 2022-08-07
-
2022-08-08
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Pain · NoneUnder 3 check-in
-
2022-08-09
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
- 2022-08-15
- 2022-08-20
-
2022-08-25
Survey response — day 21, dose 1, under 3MedDRA: Nasal congestion — Feeling: GoodFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
- 2023-02-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-08-04 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Headache
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Stuffy 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 | Nasal congestion | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release