U2T-55910-13389
3 vaccinations
0 coded responses
30 check-ins
0 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 200 / DC
- Registered
- 2022-11-01
- Relationship
- Child or adolescent in my care
- Guardian
- PYW-15633-53422
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-10-31
Dose 1 — ModernaCo-administered: Chickenpox:Flu:Hepatitis B:Hib:Polio:Rotavirus:Tetanus
-
2022-11-01
Registered in v-safe
-
2022-11-01
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Sleepiness, VomitingUnder 3 check-in
- 2022-11-02
- 2022-11-03
- 2022-11-04
- 2022-11-05
- 2022-11-06
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2022-11-30
-
2022-12-05
Dose 2 — ModernaCo-administered: Flu
- 2022-12-05
-
2022-12-06
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Pain · NoneUnder 3 check-in
- 2022-12-07
- 2022-12-08
- 2022-12-09
- 2022-12-10
- 2022-12-11
- 2022-12-12
- 2022-12-19
- 2022-12-26
- 2023-01-04
- 2023-01-09
- 2023-01-16
- 2023-03-06
-
2023-05-01
Dose 3 — ModernaCo-administered: Chickenpox:Hepatitis A:MMR
- 2023-05-09
- 2023-05-15
- 2023-05-22
- 2023-05-29
- 2023-06-05
- 2023-06-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-31 | Moderna | Chickenpox:Flu:Hepatitis B:Hib:Polio:Rotavirus:Tetanus |
| 2 | 2022-12-05 | Moderna | Flu |
| 3 | 2023-05-01 | Moderna | Chickenpox:Hepatitis A:MMR |
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.