TFX-11534-57691
3 vaccinations
4 coded responses
19 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 547 / WI
- Registered
- 2022-07-11
- Relationship
- Child or adolescent in my care
- Guardian
- R9U-12082-19445
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-05
Dose 1 — Moderna
-
2022-07-11
Registered in v-safe
-
2022-07-11
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Mouth haemorrhage — Feeling: Fair · FeverFree text: Petechiae on soft palateMedDRA releases: 2024-11 · check-in free text available
- 2022-07-12
-
2022-07-21
Survey response — day 14, dose 1, dependentMedDRA: Nasal congestion, Sneezing — Feeling: FairFree text: Sneezing, nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-07-26
-
2022-08-02
Dose 2 — Moderna
- 2022-08-02
- 2022-08-03
- 2022-08-04
- 2022-08-05
-
2022-08-06
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Fatigue or tirednessAdult check-in
- 2022-08-07
- 2022-08-08
- 2022-08-09
- 2022-08-16
-
2022-08-23
Survey response — day 21, dose 2, dependentMedDRA: Cough, Pyrexia, Sneezing — Feeling: FairFree text: Fever, sneezing, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-08-30
-
2022-09-06
Survey response — day 35, dose 2, dependentMedDRA: Cough, Oropharyngeal pain, Pyrexia, Rash, Sneezing — Feeling: GoodFree text: Fever, cough, sneezing, sore throat, rashMedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
-
2022-11-17
Dose 3 — Moderna
- 2023-01-31
- 2023-05-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-05 | Moderna | No |
| 2 | 2022-08-02 | Moderna | No |
| 3 | 2022-11-17 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Petechiae on soft palate
Release 12 — day 14, dose 1, dependent
Symptoms: Sneezing, nasal congestion
Release 12 — day 21, dose 2, dependent
Symptoms: Fever, sneezing, cough
Release 12 — day 35, dose 2, dependent
Symptoms: Fever, cough, sneezing, sore throat, rash
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 | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Mouth haemorrhage | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release