T6P-20407-04960
1 vaccination
1 coded response
5 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 021 / MA
- Registered
- 2022-06-25
- Relationship
- Child or adolescent in my care
- Guardian
- ZQL-23225-54470
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2022-06-21
Dose 1 — Moderna
-
2022-06-25
Registered in v-safe
- 2022-06-25
-
2022-06-27
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Fever · Irritability/crying · Be unable to work or attend schoolUnder 3 check-in
-
2022-07-12
Survey response — day 21, dose 1, under 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: Had covidMedDRA releases: 2024-11 · check-in free text available
- 2022-12-22
- 2023-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-21 | Moderna | No |
Free text
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Had covid
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 | COVID-19 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release