TJC-22300-88369
2 vaccinations
2 coded responses
18 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 802 / CO
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- PEB-23404-62084
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-06-22
Dose 1 — Moderna
- 2022-06-22
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-28
- 2022-06-29
- 2022-07-06
- 2022-07-13
- 2022-07-20
-
2022-07-21
Dose 2 — Moderna
-
2022-07-27
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Redness · Fever · Fatigue or tiredness, DiarrheaAdult check-in
- 2022-07-28
-
2022-08-04
Survey response — day 14, dose 2, dependentMedDRA: Decreased appetite, Fatigue, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, fatigue, and loss of appetite, but I suspect it is viral and not secondary to the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-11
- 2022-08-20
- 2022-08-27
- 2022-09-01
-
2022-10-21
Survey response — 3 months, dose 2, dependentMedDRA: Tonsillitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: TonsillitisMedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Report sent to call center — 3 months, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-10-24
- 2023-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-21 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — day 14, dose 2, dependent
Symptoms: Fever, fatigue, and loss of appetite, but I suspect it is viral and not secondary to the vaccine.
Release 12 — 3 months, dose 2, dependent
Symptoms: Tonsillitis
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 | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Tonsillitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release