U8W-30816-04105
2 vaccinations
1 coded response
6 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 0-4
- ZIP prefix
- 021 / MA
- Registered
- 2022-11-19
- Relationship
- Child or adolescent in my care
- Guardian
- 7K6-19191-94868
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-10-06
Dose 1 — Moderna
-
2022-11-03
Dose 2 — Moderna
-
2022-11-19
Registered in v-safe
- 2022-11-19
- 2022-11-24
- 2022-12-01
-
2022-12-08
Survey response — day 35, dose 2, under 3MedDRA: Office visit, Urinary tract infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: UTI · Healthcare visit (other): Doctors officeMedDRA releases: 2024-11 · check-in free text available
-
2022-12-08
Report sent to call center — day 35, dose 2, under 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-12-09
- 2022-12-15
- 2023-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-10-06 | Moderna | No |
| 2 | 2022-11-03 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-08 | Unsuccessful |
Free text
Release 12 (Under 3) — day 35, dose 2, under 3
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release