TU6-56958-99933
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 524 / IA
- Registered
- 2022-07-31
- Relationship
- Child or adolescent in my care
- Guardian
- SYP-30452-62801
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-28
Dose 1 — Moderna
-
2022-07-31
Registered in v-safe
-
2022-07-31
Survey response — days 1–6 daily, dose 1, under 3MedDRA: Vomiting — Feeling: GoodFree text: Vomiting SundayMedDRA releases: 2024-11 · check-in free text available
- 2022-08-01
-
2022-08-03
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Poor · Fever · Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesUnder 3 check-in
- 2022-08-04
- 2022-08-11
-
2022-08-18
Survey response — day 21, dose 1, under 3MedDRA: Constipation — 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 visitFree text: ConstipationMedDRA releases: 2024-11 · check-in free text available
-
2022-08-18
Report sent to call center — day 21, dose 1, under 3Be 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 · 1 call case(s)
- 2022-08-19
-
2022-08-25
Survey response — day 28, dose 1, under 3MedDRA: Headache, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, headacheMedDRA releases: 2024-11 · check-in free text available
-
2022-09-01
Dose 2 — Moderna
- 2022-09-01
-
2022-09-02
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Pain · Irritability/cryingUnder 3 check-in
- 2022-09-03
- 2022-09-04
- 2022-09-05
- 2022-09-06
- 2022-09-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-28 | Moderna | No |
| 2 | 2022-09-01 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 (Under 3) — days 1–6 daily, dose 1, under 3
Systemic reaction (other): Vomiting Sunday
Release 12 (Under 3) — day 21, dose 1, under 3
Symptoms: Constipation
Release 12 (Under 3) — day 28, dose 1, under 3
Symptoms: Fever, headache
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 | Constipation | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release