S69-18811-84886
1 vaccination
2 coded responses
11 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 980 / WA
- Registered
- 2022-06-28
- Relationship
- Child or adolescent in my care
- Guardian
- X9C-12580-38569
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-25
Dose 1 — Moderna
-
2022-06-28
Registered in v-safe
-
2022-06-28
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Screaming — Feeling: Good · Fever · Irritability/cryingFree text: Approx 36 hours after vaccine spent 30 minutes screaming inconsolablyMedDRA releases: 2024-11 · check-in free text available
- 2022-06-29
- 2022-06-30
-
2022-07-01
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Fever · Irritability/cryingUnder 3 check-in
-
2022-07-02
Health check-in — day 7, dose 1, under 3Feeling: Fair · Fever · Irritability/crying, VomitingUnder 3 check-in
- 2022-07-09
- 2022-07-18
- 2022-07-25
- 2022-07-30
- 2022-08-07
-
2022-09-24
Survey response — 3 months, dose 1, under 3MedDRA: Nasopharyngitis, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cold- including fever, runny noseMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-25 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Approx 36 hours after vaccine spent 30 minutes screaming inconsolably
Release 12 (Under 3) — 3 months, dose 1, under 3
Symptoms: Cold- including fever, 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 | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Screaming | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release