SRV-23876-21114
2 vaccinations
0 coded responses
25 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 775 / TX
- Registered
- 2022-06-24
- Relationship
- Child or adolescent in my care
- Guardian
- FAH-31896-05463
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-24
Registered in v-safe
-
2022-06-27
Dose 1 — Moderna
-
2022-06-27
Health check-in — day 0, dose 1, under 3Feeling: Fair · Site: Swelling/hardness · Sleepiness, Irritability/cryingUnder 3 check-in
-
2022-06-28
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Site: Swelling/hardness · Irritability/crying, Loss of appetiteUnder 3 check-in
-
2022-06-29
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Site: Redness, Swelling/hardness · Irritability/cryingUnder 3 check-in
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-04
- 2022-07-11
- 2022-07-18
-
2022-07-25
Dose 2 — Moderna
-
2022-07-25
Health check-in — day 0, dose 2, under 3Feeling: Fair · Site: Pain · Fever · Irritability/crying · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-07-26
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-07-28
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesUnder 3 check-in
-
2022-07-29
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Fair · Fever · Irritability/cryingUnder 3 check-in
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-08
- 2022-08-15
- 2022-08-22
- 2022-08-29
- 2022-09-05
- 2022-10-24
- 2023-01-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-27 | Moderna | No |
| 2 | 2022-07-25 | Moderna | No |
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
No MedDRA codes.