U3J-29919-31010
1 vaccination
2 coded responses
15 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 064 / CT
- Registered
- 2022-07-28
- Relationship
- Child or adolescent in my care
- Guardian
- WHG-73641-98334
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-07-28
Registered in v-safe
-
2022-07-28
Dose 1 — Moderna
- 2022-07-28
- 2022-07-29
- 2022-07-30
- 2022-07-31
-
2022-08-01
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Fair · Irritability/cryingUnder 3 check-in
- 2022-08-02
- 2022-08-03
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-09-01
-
2022-09-11
Survey response — day 42, dose 1, under 3MedDRA: Irritability, Pyrexia, Rash — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fever, rash, irritability x 5 daysMedDRA releases: 2024-11 · check-in free text available
-
2022-10-27
Survey response — 3 months, dose 1, under 3MedDRA: Cough, Eye discharge, Nasal congestion, Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fever, runny/stuffy nose, cough, eye dischargeMedDRA releases: 2024-11 · check-in free text available
- 2023-01-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-07-28 | Moderna | No |
Free text
Release 12 (Under 3) — day 42, dose 1, under 3
Symptoms: Fever, rash, irritability x 5 days
Release 12 (Under 3) — 3 months, dose 1, under 3
Symptoms: Fever, runny/stuffy nose, cough, eye discharge
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 | Eye discharge | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release