S2Z-30877-44489
3 vaccinations
1 coded response
27 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 060 / CT
- Registered
- 2022-07-07
- Relationship
- Child or adolescent in my care
- Guardian
- J76-30374-11735
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-05
Dose 1 — Moderna
-
2022-07-07
Registered in v-safe
-
2022-07-07
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-07-09
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-07-10
- 2022-07-11
- 2022-07-12
- 2022-07-19
- 2022-07-26
- 2022-08-02
-
2022-08-04
Dose 2 — Moderna
- 2022-08-09
- 2022-08-10
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-09-01
- 2022-09-08
- 2022-09-17
- 2022-11-03
- 2023-02-02
-
2023-03-10
Dose 3 — ModernaCo-administered: Chickenpox:MMR:Other
-
2023-03-15
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Contusion — Feeling: Good · Site: Pain · Muscle or body achesMedDRA releases: 2024-11
- 2023-03-16
- 2023-03-17
- 2023-03-24
- 2023-03-31
- 2023-04-07
- 2023-04-14
- 2023-04-21
- 2023-06-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-05 | Moderna | No |
| 2 | 2022-08-04 | Moderna | No |
| 3 | 2023-03-10 | Moderna | Chickenpox:MMR:Other |
Free text
None.
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 |
|---|---|---|---|---|
| SRO | Contusion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release